Organization
ROBERTA'S HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MILLER (OWNER)
(636) 336-8544
Entity
Organization
Contact information
Practice address
300 FORT ZUMWALT SQ STE 108, O FALLON, MO 63366-3078
(636) 336-8544
Mailing address
300 FORT ZUMWALT SQ STE 108, O FALLON, MO 63366-3078
(636) 336-8544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23172317
—
MO
Enumeration date
04/17/2020
Last updated
04/17/2020
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