Organization
A HEART FULL OF LOVE HOME HEALTH LLC
Active
Other names
A HEART FULL OF LOVE HOME HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L GREGORY OWNER (OWNER)
(314) 269-6907
Entity
Organization
Contact information
Practice address
10000 N 31ST AVE STE D304B, PHOENIX, AZ 85051-9582
(314) 269-6907
Mailing address
10000 N 31ST AVE STE D304B, PHOENIX, AZ 85051-9582
(314) 269-6907
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
489783172
—
MO
Enumeration date
04/12/2022
Last updated
04/12/2022
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