Organization
MAGDALA HOME HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MAGDALENE ADOU GBOUGBO (OWNER)
(314) 814-1869
Entity
Organization
Contact information
Practice address
444 BISMARK AVE, SAINT LOUIS, MO 63119-1524
(314) 814-1869
Mailing address
2536 HIDDEN MEADOW LN, BALLWIN, MO 63021-7824
(314) 814-1869
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
07/08/2023
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