Organization
LIFE FORWARD HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MONTGOMERY (EXECUTIVE DIRECTOR)
(314) 485-1515
Entity
Organization
Contact information
Practice address
2055 CRAIGSHIRE RD STE 410D, SAINT LOUIS, MO 63146-4036
(314) 485-1515
Mailing address
2055 CRAIGSHIRE RD STE 410D, SAINT LOUIS, MO 63146-4036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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