Organization
HOME SUITE HOME ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI L CRAWFORD (OWNER)
(314) 219-4153
Entity
Organization
Contact information
Practice address
210 N 17TH ST STE 102, SAINT LOUIS, MO 63103-2518
(314) 219-4153
Mailing address
210 N 17TH ST STE 102, SAINT LOUIS, MO 63103-2518
(314) 219-4153
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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