Organization
MRS OCTAVIA HOME HEALTH CARE LLC
Active
Other names
MRS OCTAVIA HOME HEALTH CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA EDWARDS (DIRECTOR)
(314) 652-4209
Entity
Organization
Contact information
Practice address
1516 GOODFELLOW BLVD, SAINT LOUIS, MO 63112-3828
(314) 652-4209
Mailing address
1516 GOODFELLOW BLVD UNIT A, SAINT LOUIS, MO 63112-3828
(314) 652-4209
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
10/04/2023
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