# INNOVATIVE CARE UNLIMITED HEALTH AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ICU Health Agency, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982030227
- **Authorized official:** MS. LAKISHA SANDERS R.N. (REGISTERED NURSE)
- **Authorized official phone:** (314) 315-7288

## Contact information

- **Practice address:** 11922 CATO DRIVE, FLORISSANT, MO 63033
- **Practice address phone:** (314) 315-7288
- **Practice address fax:** (314) 395-7942
- **Mailing address:** 11922 CATO DR, FLORISSANT, MO 63033-6904
- **Mailing address phone:** (314) 315-7288
- **Mailing address fax:** (314) 395-7942

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2013
- **Last updated:** 09/18/2013
