Organization
HEART IS HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIA JONES (EXECUTIVE DIRECTOR)
(314) 249-4718
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD STE 2ND, SAINT LOUIS, MO 63108-3725
(314) 249-4718
Mailing address
4625 LINDELL BLVD FL 2, SAINT LOUIS, MO 63108-3739
(314) 249-4718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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