Organization
EXPRESSIONS OF LOVE HOME HEALTHCARE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'TALIA WILDERNESS (OWNER)
(314) 371-7418
Entity
Organization
Contact information
Practice address
1409 WASHINGTON AVE STE 220, SAINT LOUIS, MO 63103-1936
(314) 241-2992
Mailing address
1409 WASHINGTON AVE STE 220, SAINT LOUIS, MO 63103-1936
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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