Organization
FLORIDA HOME HEALTH & THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNESHAE FORLAND (ADMINISTRATOR)
(314) 524-3958
Entity
Organization
Contact information
Practice address
11636 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 524-3958
Mailing address
11636 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 524-3958
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
06/11/2019
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