Organization
A LOVING HEART HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANNETTE BRADLEY (DIRECTOR)
(314) 761-9219
Entity
Organization
Contact information
Practice address
42 OPEN COUNTRY CT, WENTZVILLE, MO 63385-3652
(314) 258-7756
Mailing address
326 N VANDEVENTER AVE, SAINT LOUIS, MO 63108-3104
(314) 761-9219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC1391076
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093115826
—
MO
Enumeration date
02/03/2016
Last updated
02/03/2016
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