Organization
1ST HOME AWAY FROM HOME IHS LLC
Active
Other names
1st Home Away From Home IHS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANDA GUESRT (DIRECTOR)
(314) 479-1673
Entity
Organization
Contact information
Practice address
4735 PLOVER AVE, SAINT LOUIS, MO 63120-1822
(314) 479-1673
Mailing address
4735 PLOVER AVE, SAINT LOUIS, MO 63120-1822
(314) 479-1673
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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