Organization
IGNITED HOME CARE LLC
Active
Other names
Ignited Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE KIPENDO (OWNER)
(802) 377-1899
Entity
Organization
Contact information
Practice address
695 BERRYWINE LN, ARNOLD, MO 63010-4735
(802) 377-1899
Mailing address
695 BERRYWINE LN, ARNOLD, MO 63010-4735
(802) 377-1899
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
07/29/2024
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