# MARY J'S HOME HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARY J's HOME HEALTH SERVICES LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871056473
- **Authorized official:** MR. JOCK O WINBUSH (MEMBER/PARTNER)
- **Authorized official phone:** (314) 795-7860

## Contact information

- **Practice address:** 2760 REDMAN RD, SAINT LOUIS, MO 63136-4653
- **Practice address phone:** (314) 795-7860
- **Practice address fax:** (314) 584-7004
- **Mailing address:** 3700 NATURAL BRIDGE AVE, SAINT LOUIS, MO 63107-2205
- **Mailing address phone:** (314) 795-7860
- **Mailing address fax:** (314) 584-7004

## Taxonomy

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

## Other

- **Enumeration date:** 04/10/2019
- **Last updated:** 04/10/2019