Organization
MISSOURI IN HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENCE FORLAND (OWNER)
(314) 524-3958
Entity
Organization
Contact information
Practice address
6746 PAGE AVE STE 200, SAINT LOUIS, MO 63133-1616
(314) 524-3958
Mailing address
6746 PAGE AVE STE 200, SAINT LOUIS, MO 63133-1616
(314) 524-3958
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
12/30/2021
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