Organization
FHHS HHA MO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RUARK (CEO)
(734) 560-8953
Entity
Organization
Contact information
Practice address
2299 TECHNOLOGY DR, SUITE 225, O FALLON, MO 63368-7341
(636) 625-6191
(636) 625-6194
Mailing address
2299 TECHNOLOGY DR, SUITE 225, O FALLON, MO 63368-7341
(636) 625-6191
(636) 625-6194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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