Organization
NEOLY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAJA DHITAL (PRESIDENT)
(314) 482-6648
Entity
Organization
Contact information
Practice address
4335 LOUGHBOROUGH AVE, SAINT LOUIS, MO 63116-2103
(614) 943-0728
Mailing address
4335 LOUGHBOROUGH AVE, SAINT LOUIS, MO 63116-2103
(614) 943-0728
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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