Organization
PERSONALIZED HOMEHEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY WEST (MANAGER)
(314) 741-4861
Entity
Organization
Contact information
Practice address
3238 PARKER RD, FLORISSANT, MO 63033-3733
(314) 741-4861
Mailing address
3238 PARKER RD, FLORISSANT, MO 63033-3733
(770) 559-7474
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M264888603
—
MO
Enumeration date
11/09/2022
Last updated
11/09/2022
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