Organization
EDENS SACRED HAND HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARESE MAUL (EXECUTIVE DIRECTOR)
(314) 885-0848
Entity
Organization
Contact information
Practice address
1515 HORNSBY AVE, SAINT LOUIS, MO 63147-1407
(314) 716-3989
Mailing address
1515 HORNSBY AVE, SAINT LOUIS, MO 63147-1407
(314) 716-3989
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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