Organization
MID AMERICA HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA J LOWERY RN (ADMINISTRATOR)
(314) 725-2200
Entity
Organization
Contact information
Practice address
9495 PAGE AVE, SUITE 101, SAINT LOUIS, MO 63132-1521
(314) 725-2200
(314) 725-2294
Mailing address
9495 PAGE AVE, SUITE 101, SAINT LOUIS, MO 63132-1521
(314) 725-2200
(314) 725-2294
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00010882
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461993
JCAHO
MO
05
—
584704308
—
MO
Enumeration date
04/28/2006
Last updated
01/03/2011
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