Organization
BOUNTIFUL HARVEST HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLUSS MARIE JOHNSON (DIRECTOR)
(314) 440-6607
Entity
Organization
Contact information
Practice address
2404 LUCAS AND HUNT RD, SAINT LOUIS, MO 63121-5016
(314) 440-6607
Mailing address
2404 LUCAS AND HUNT RD, SAINT LOUIS, MO 63121-5016
(314) 440-6607
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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