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Organization

BELLA MARIE HOME HEALTH AGENCY, LLC

Active
Other names
Bella Marie Home Health Agency
Organization subpart
No

Provider details

NPI number
Authorized official
LISA WEST COTA (OWNER)
(314) 873-2121
Entity
Organization

Contact information

Practice address
1515 N WARSON RD STE 217, SAINT LOUIS, MO 63132-1115
(314) 348-3907
(314) 453-3996
Mailing address
2200 N HIGHWAY 67 UNIT 2424, FLORISSANT, MO 63032-4053
(314) 348-3907

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053983460
MO
Enumeration date
07/14/2021
Last updated
01/06/2022
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