Organization
DEER VALLEY HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADA JOYCE TAYLOR (OWNER OFFICE MANAGER)
(314) 355-3679
Entity
Organization
Contact information
Practice address
8600 AIRPORT RD, SUITE 104, SAINT LOUIS, MO 63134-1937
(314) 355-3679
(314) 521-5661
Mailing address
8600 AIRPORT RD, SUITE 104, SAINT LOUIS, MO 63134-1937
(314) 355-3679
(314) 521-5661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC0609431
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266222603
—
MO
05
—
286222609
—
MO
05
—
946229705
—
MO
Enumeration date
06/07/2007
Last updated
04/14/2009
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