Organization
GUIDEDBY GOD IN HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE HERRON HOPPER (EXECUTIVE DIRECTOR)
(314) 764-2935
Entity
Organization
Contact information
Practice address
5918 EVERGREEN BLVD, BERKELEY, MO 63134-2302
(314) 764-2935
(314) 764-2017
Mailing address
5918 EVERGREEN BLVD, BERKELEY, MO 63134-2302
(314) 764-2935
(314) 764-2017
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0015469
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015469
—
MO
Enumeration date
04/12/2016
Last updated
04/12/2016
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