Organization
PHILLIPS PROFESSIONAL HOME HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATOSHA SNOWDEN (MANAGER)
(314) 423-9596
Entity
Organization
Contact information
Practice address
8456 A PAGE AVE, SAINT LOUIS, MO 63130-1055
(314) 423-9596
(314) 426-1678
Mailing address
8456 A PAGE AVE, SAINT LOUIS, MO 63130-1055
(314) 423-9596
(314) 426-1678
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
09/28/2012
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