Organization
LA WINGS HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES JEAN WINGS (DIRECTOR)
(314) 531-8594
Entity
Organization
Contact information
Practice address
4030 COTTAGE AVE, SAINT LOUIS, MO 63113-3204
(314) 531-8594
(314) 531-8596
Mailing address
4030 COTTAGE AVE, SAINT LOUIS, MO 63113-3204
(314) 531-8594
(314) 531-8596
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC6681870
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004668
—
MO
05
—
263839706
—
MO
05
—
283839702
—
MO
Enumeration date
11/17/2006
Last updated
06/24/2009
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