Organization
BREAD OF LIFE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KUNESHA HARRISON (DIRECTOR)
(314) 484-4395
Entity
Organization
Contact information
Practice address
2 CITYPLACE DR RM 258, SAINT LOUIS, MO 63141-7096
(314) 812-2757
Mailing address
2 CITYPLACE DR RM 258, SAINT LOUIS, MO 63141-7096
(314) 812-2757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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