Organization
UNDER GRACE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHAUNA PARKER (DIRECTOR)
(314) 391-9415
Entity
Organization
Contact information
Practice address
9191 W FLORISSANT AVE STE 200B, SAINT LOUIS, MO 63136-1424
(314) 391-9415
Mailing address
9191 W FLORISSANT AVE STE 200B, SAINT LOUIS, MO 63136-1424
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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