Organization
ELITE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE HENDERSON JR. (DIRECTOR)
(314) 400-8041
Entity
Organization
Contact information
Practice address
3350 CLARA AVE, UNIT A, SAINT LOUIS, MO 63120-1634
(314) 400-8041
Mailing address
5536 HEBERT ST, A, SAINT LOUIS, MO 63120-1623
(314) 400-8041
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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