Organization
HEART OF GOLD IN HOME HEALTH SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARISE WILLIAMS RN (DIRECTOR)
(314) 495-1854
Entity
Organization
Contact information
Practice address
50 BLACK JACK CT, FLORISSANT, MO 63033-7101
(314) 653-0500
(314) 653-0545
Mailing address
50 BLACK JACK CT, FLORISSANT, MO 63033-7101
(314) 653-0500
(314) 653-0545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MO
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
08/09/2011
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