Organization
A ZENFUL EXPERIENCE HOME HEALTH CARE LLC
Active
Other names
A Zenful Experience Home Health Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EVERLENA MACK DO (DIRECTOR)
(314) 478-0292
Entity
Organization
Contact information
Practice address
5019 ULENA AVE, SAINT LOUIS, MO 63116-3333
(314) 478-0292
(314) 733-5202
Mailing address
5019 ULENA AVE, SAINT LOUIS, MO 63116-3333
(314) 478-0292
(314) 733-5202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372500000X
—
MO
Enumeration date
10/30/2021
Last updated
10/30/2021
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