Organization
BETTY'S MIRACLE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA COVINGTON (OWNER)
(314) 930-0502
Entity
Organization
Contact information
Practice address
5969 WELLS AVE, SAINT LOUIS, MO 63112-3519
(314) 930-0502
Mailing address
3426 SAINT MARK LN, SAINT ANN, MO 63074-2910
(314) 930-0502
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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