# BRAVEHEARTS LOVING CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bravehearts Loving Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780291005
- **Authorized official:** ROSHONDA S SANDERSON (ADMINISTRATOR)
- **Authorized official phone:** (314) 295-7775

## Contact information

- **Practice address:** 1948 RAFT DR, SAINT LOUIS, MO 63133-1152
- **Practice address phone:** (314) 295-7775
- **Mailing address:** 1948 RAFT DR, SAINT LOUIS, MO 63133-1152
- **Mailing address phone:** (314) 295-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2020
- **Last updated:** 09/30/2020