Organization
HOMEPLACE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGHENERO OLOMUKORO (CO-DIRECTOR)
(410) 574-4955
Entity
Organization
Contact information
Practice address
13675 EVERGREEN GLEN DR, SAINT LOUIS, MO 63128-4273
(410) 574-4955
Mailing address
13675 EVERGREEN GLEN DR, SAINT LOUIS, MO 63128-4273
(410) 574-4955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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