Organization
HEALTH AT HOME II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERNELL KENYATTE BEASLEY (OWNER)
(314) 662-0253
Entity
Organization
Contact information
Practice address
1409 WASHINGTON AVE, SAINT LOUIS, MO 63103-1905
(314) 662-0253
Mailing address
3859 FOLSOM AVE, SAINT LOUIS, MO 63110-2611
(314) 662-0253
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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