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Organization

EXPERIENCED IN-HOME CARE & ASSISTANCE LLC

Active
Other names
Experienced In-Home Care & Assistance
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBIN T BADWAN (OWNER)
(636) 525-5445
Entity
Organization

Contact information

Practice address
14824 CLAYTON ROAD, SUITE 19, CHESTERFIELD, MO 63017-7888
(636) 525-5445
(636) 525-5446
Mailing address
14824 CLAYTON ROAD, SUITE 19, CHESTERFIELD, MO 63017-7888
(636) 525-5445
(636) 525-5446

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LC001704880
ARTICLES IF INCORPORATION
MO
Enumeration date
01/28/2021
Last updated
01/28/2021
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