Organization
HEAVENLY SENT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LAMONT HARRIS SR. (OWNER)
(314) 665-7199
Entity
Organization
Contact information
Practice address
4102 NEBRASKA AVE APT 1, SAINT LOUIS, MO 63118-4400
(314) 665-7199
Mailing address
4102 NEBRASKA AVE APT A, SAINT LOUIS, MO 63118-4492
(314) 665-7199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
BLS000875
MO
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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