Organization
HAVEN HOME HEALTH AGENCY FOR KIDS, LLC D/B/A HAVEN HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIME K. PLUMMER RN, MSN (OWNER/ AGENCY ADMINISTRATOR)
(314) 802-4999
Entity
Organization
Contact information
Practice address
475 FALCON DR, FLORISSANT, MO 63031-2107
(314) 802-4999
(314) 802-4999
Mailing address
475 FALCON DR, FLORISSANT, MO 63031-2107
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
2011018072
MO
251E00000X
Home Health Agency
2011018072
MO
251J00000X
Nursing Care Agency
Primary
2011018072
MO
253Z00000X
In Home Supportive Care Agency
2011018072
MO
Other
Enumeration date
07/03/2017
Last updated
02/21/2018
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