# HEAL 4 RTG HOME HEALTH CARE CDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912511692
- **Authorized official:** TERRY PURTTY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 623-5040

## Contact information

- **Practice address:** 7129 WOODROW AVE, ST LOUIS, MO 63121
- **Practice address phone:** (314) 623-5040
- **Mailing address:** P O BOX 210204, ST LOUIS, MO 63121
- **Mailing address phone:** (314) 623-5040

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2020
- **Last updated:** 09/01/2020