Organization
SURE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKARRA LEAK THOMPSON (EXECUTIVE DIRECTOR)
(314) 537-1357
Entity
Organization
Contact information
Practice address
3800 GRAVOIS AVE UNIT 1F, SAINT LOUIS, MO 63116-4656
(314) 537-1357
Mailing address
3800 GRAVOIS AVE UNIT 1F, SAINT LOUIS, MO 63116-4656
(314) 537-1357
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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