Organization
LA WINGS HOME HEALTH CARE II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNETTA WINGS (DIRECTOR)
(314) 890-9060
Entity
Organization
Contact information
Practice address
8907 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-4237
(314) 890-9060
(314) 890-9082
Mailing address
8907 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-4237
(314) 890-9060
(314) 890-9082
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00933247
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009903
—
MO
05
—
374U00000X
—
MO
Enumeration date
06/24/2009
Last updated
02/24/2010
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