Organization
RIVER VALLEY IN-HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P BOSEN (PRESIDENT)
(314) 282-2957
Entity
Organization
Contact information
Practice address
111 LEROUX ST, DONIPHAN, MO 63935-1038
(314) 282-2957
Mailing address
11796 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3402
(314) 282-2957
(314) 282-2967
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
03/07/2023
Last updated
03/08/2023
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