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Organization
MY MOTHERS WISH HOME HEALTH SERVICES LLC
Active
Organization
MY MOTHERS WISH HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ELAINE SIMMONS (HEALTHCARE PROVIDER)
(314) 363-1726
Entity
Organization
Contact information
Practice address
7004 PLYMOUTH AVE, SAINT LOUIS, MO 63130-2451
(314) 363-1726
Mailing address
7004 PLYMOUTH AVE, SAINT LOUIS, MO 63130-2451
(314) 363-1726
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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