Organization
WOEZOR HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MAWUENYEGA (OWNER/MANAGER)
(314) 868-1733
Entity
Organization
Contact information
Practice address
9944 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1432
(314) 868-1733
(314) 338-3660
Mailing address
9944 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1432
(314) 868-1733
(314) 338-3660
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253J00000X
Foster Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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