Organization
DIVINE PURPOSE HOME HEALTH SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET BUCKNER (CEO)
(314) 357-4879
Entity
Organization
Contact information
Practice address
9426 RIDGE AVE, SAINT LOUIS, MO 63114-3920
(314) 357-4879
Mailing address
9426 RIDGE AVE, SAINT LOUIS, MO 63114-3920
(314) 357-4879
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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