Organization
THE GREAT INITIATIVE - HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNIE KISHNA (DIRECTOR)
(314) 225-7077
Entity
Organization
Contact information
Practice address
2001 WALTON RD STE B, SAINT LOUIS, MO 63114-5805
(314) 225-7077
Mailing address
2001 WALTON RD STE B, SAINT LOUIS, MO 63114-5805
(314) 225-7077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
09/11/2023
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