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Organization
4TH GENERATION HOME CARE SERVICES LLC
Active
Organization
4TH GENERATION HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NACOLE TAYLOR (EXECUTIVE DIRECTOR)
(314) 971-9784
Entity
Organization
Contact information
Practice address
2110 MCLARAN AVE, SAINT LOUIS, MO 63136-3850
(314) 971-9784
Mailing address
2110 MCLARAN AVE, SAINT LOUIS, MO 63136-3850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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