Organization
NORTHERN FAMILY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ETIS NORTHERN (OWNER)
(314) 308-9106
Entity
Organization
Contact information
Practice address
2226 ROUNTREE DR, SAINT LOUIS, MO 63136-6137
(314) 308-9106
Mailing address
2226 ROUNTREE DR, SAINT LOUIS, MO 63136-6137
(314) 308-9106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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