Organization
MEDICAL IN-HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TISHA WILEY (MANAGER)
(314) 653-6213
Entity
Organization
Contact information
Practice address
5201 BAY POINT DR, FLORISSANT, MO 63034-1734
(314) 653-6213
(314) 653-0653
Mailing address
5201 BAY POINT DR, FLORISSANT, MO 63034-1734
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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