Organization
PROFESSIONAL HEALTHCARE PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY HAGENS (MANAGEMENT)
(314) 665-9134
Entity
Organization
Contact information
Practice address
1515 N WARSON RD STE 297, SAINT LOUIS, MO 63132-1110
(314) 665-9134
Mailing address
1515 N WARSON RD STE 297, SAINT LOUIS, MO 63132-1110
(314) 665-9134
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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