Organization
ALL STAR IN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAZEEL AHMED CEO (CEO AND PRESIDENT)
(314) 609-9029
Entity
Organization
Contact information
Practice address
514 BROOK MEADOW DR, BALLWIN, MO 63021-3711
(314) 609-9029
Mailing address
514 BROOK MEADOW DR, BALLWIN, MO 63021-3711
(314) 609-9029
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC1383420
MO
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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