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Organization

PROFESSIONAL IN-HOME CARE PROVIDER, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTOINETTE MILLER (OWNER)
(314) 803-2798
Entity
Organization

Contact information

Practice address
11740 CAROLVIEW DR, FLORISSANT, MO 63033
(314) 803-2798
Mailing address
1000 N GREEN VALLEY PKWY # 440-657, HENDERSON, NV 89074-6170
(314) 803-2798

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/29/2009
Last updated
08/16/2018
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