# PEARLS PROFESSIONAL HOME HEALTH AGENCY PHASE II

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

## Provider details

- **NPI number:** 1962015875
- **Authorized official:** JANIA VICTORY (MEMBER)
- **Authorized official phone:** (314) 731-6021

## Contact information

- **Practice address:** 2780 SAINT CATHERINE ST, FLORISSANT, MO 63033-3626
- **Practice address phone:** (314) 731-6021
- **Practice address fax:** (314) 731-6043
- **Mailing address:** 2780 SAINT CATHERINE ST, FLORISSANT, MO 63033-3626
- **Mailing address phone:** (314) 731-6021
- **Mailing address fax:** (314) 731-6043

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 08/28/2020