Organization
HEALING HANDS HOME HEALTHCARE, LLC
Active
Other names
Roderick Wilson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK STUART WILSON JR. (FIREMAN)
(314) 574-9560
Entity
Organization
Contact information
Practice address
5854 ENRIGHT AVE, SAINT LOUIS, MO 63112-2302
(314) 574-9560
Mailing address
2919 ORIENTAL DR, FLORISSANT, MO 63031-1447
(314) 541-9485
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
193200000X
MO
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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