Organization
IN MARYS HANDS HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASSMA DAVIS REGISTERED NURSE (OWNER)
(314) 643-3413
Entity
Organization
Contact information
Practice address
11452 LAS LADERA DR, FLORISSANT, MO 63033-8142
(314) 643-3413
Mailing address
11452 LAS LADERA DR, FLORISSANT, MO 63033-8142
(314) 643-3413
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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