Organization
REJUVENATION HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEVELAND EDMOND (DIRECTOR)
(314) 240-4591
Entity
Organization
Contact information
Practice address
1409 WASHINGTON AVE, SAINT LOUIS, MO 63103-1905
(314) 240-4591
(314) 288-0147
Mailing address
1409 WASHINGTON AVE, SAINT LOUIS, MO 63103-1905
(314) 240-4591
(314) 288-0147
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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