Organization
I.T.C.O.Y. IN-HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARTIN (DIRECTOR)
(314) 687-5820
Entity
Organization
Contact information
Practice address
7220 N LINDBERGH BLVD, SUITE 170, HAZELWOOD, MO 63042-2019
(314) 656-1430
Mailing address
7220 N LINDBERGH BLVD, SUITE 170, HAZELWOOD, MO 63042-2019
(314) 656-1430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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