Organization
KIND HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHNA FATHULLAH (PRESIDENT)
(314) 485-7061
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD STE 324, SAINT LOUIS, MO 63108-3725
(161) 541-9311
Mailing address
4625 LINDELL BLVD STE 200, SAINT LOUIS, MO 63108-3725
(161) 541-9311
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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