Organization
POLARIS HOME HEALTH CARE ST LOUIS LLC
Active
Other names
Aevitas Home Health of St Louis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GOLDNER (AUTHORIZED PERSON)
(516) 727-1634
Entity
Organization
Contact information
Practice address
13995 CLAYTON RD STE 100, TOWN AND COUNTRY, MO 63017-8400
(516) 727-1634
Mailing address
525 CHESTNUT ST STE 102, CEDARHURST, NY 11516-2223
(516) 727-1634
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
09/16/2022
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