Organization
GUIDANCE HOME HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEMETRICE A FULLER (EXECUTIVE DIRECTOR)
(618) 799-4958
Entity
Organization
Contact information
Practice address
1326 PETITE DR, SAINT LOUIS, MO 63138-2337
(618) 799-4958
Mailing address
1326 PETITE DR, SAINT LOUIS, MO 63138-2337
(618) 799-4958
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC001529675
MO
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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