Organization
HEAVENLY SENT IN-HOME CARE COMPANION LLC
Active
Other names
Heavenly Sent In-Home Care Companion LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANITA NEAL (DIRECTOR)
(314) 653-0088
Entity
Organization
Contact information
Practice address
6113 JEFFERSON AVE, SAINT LOUIS, MO 63134-2236
(314) 653-0088
Mailing address
6113 JEFFERSON AVE, SAINT LOUIS, MO 63134-2236
(314) 653-0088
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982839486
—
MO
Enumeration date
07/11/2023
Last updated
07/11/2023
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