Organization
INNOVATIVE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY R MITCHELL (OWNER)
(314) 918-5391
Entity
Organization
Contact information
Practice address
1169 NECTAR DR, SAINT LOUIS, MO 63137-2225
(314) 918-5391
(314) 328-6224
Mailing address
1169 NECTAR DR, SAINT LOUIS, MO 63137-2225
(314) 918-5391
(314) 328-6224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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