Organization
KELLY HOME CARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPARKLE KELLY (EXECUTIVE DIRECTOR)
(314) 283-5425
Entity
Organization
Contact information
Practice address
5023 GOODFELLOW BLVD UNIT B, SAINT LOUIS, MO 63136-4716
(314) 283-5425
Mailing address
5023 GOODFELLOW BLVD UNIT B, SAINT LOUIS, MO 63136-4716
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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