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Organization

ALICE HOME HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YELENA V DAVYDENKO (GENERAL MANAGER)
(314) 872-1700
Entity
Organization

Contact information

Practice address
8420 DELMAR BLVD STE LL4, SAINT LOUIS, MO 63124-2176
(314) 872-1700
(314) 872-1810
Mailing address
8420 DELMAR BLVD, STE LL4, SAINT LOUIS, MO 63124
(314) 872-1700
(314) 872-1810

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
LC1132839
MO

Other

Enumeration date
11/10/2011
Last updated
11/10/2011
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