# HOME AWAY FROM HOME IN HOME SERVICES LLC

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

## Provider details

- **NPI number:** 1952947608
- **Authorized official:** DANYIELLE BURKS (DIRECTOR)
- **Authorized official phone:** (314) 827-2255

## Contact information

- **Practice address:** 6821 S BROADWAY, SAINT LOUIS, MO 63111-3116
- **Practice address phone:** (314) 827-2255
- **Mailing address:** 222 N MASON RD, SAINT LOUIS, MO 63141-7327
- **Mailing address phone:** (314) 827-2255

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2019
- **Last updated:** 11/18/2019