Organization
ACADEMY HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA IMBODEN (HUMAN RESOURCES MANAGER)
(636) 527-1770
Entity
Organization
Contact information
Practice address
355 OZARK TRAIL DR STE 2, ELLISVILLE, MO 63011-2164
(636) 527-1770
(636) 527-1796
Mailing address
355 OZARK TRAIL DR STE 2, ELLISVILLE, MO 63011-2164
(636) 527-1770
(636) 527-1796
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M266035500
—
MO
Enumeration date
04/22/2019
Last updated
04/26/2019
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