Organization
PHILLIPS PROFESSIONAL HOME HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEARL FRANK (OWNER)
(314) 423-9596
Entity
Organization
Contact information
Practice address
8456A PAGE AVE, SAINT LOUIS, MO 63130-1055
(314) 423-9596
(314) 426-1678
Mailing address
8456A PAGE AVE, SAINT LOUIS, MO 63130-1055
(314) 423-9596
(314) 426-1678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0003114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268875609
—
MO
05
—
288874605
—
MO
Enumeration date
04/12/2007
Last updated
07/11/2008
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