Organization
INDEPENDENT LIVING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA EARL (CEO)
(314) 588-7800
Entity
Organization
Contact information
Practice address
1120 S 6TH ST, SAINT LOUIS, MO 63104-3602
(314) 588-7800
Mailing address
1120 S 6TH ST, SAINT LOUIS, MO 63104-3602
(314) 588-7800
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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