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Organization

HOME ASSIST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT A SEABAUGH MBA (VP/ADMINISTRATOR)
(636) 695-5524
Entity
Organization

Contact information

Practice address
105 STAG INDUSTRIAL BLVD, LAKE ST LOUIS, MO 63367-4240
(636) 695-5801
(636) 561-7930
Mailing address
105 STAG INDUSTRIAL BLVD, LAKE ST LOUIS, MO 63367-4240
(636) 695-5801
(636) 561-7930

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
863-HH
MO
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012873
MO
Enumeration date
08/03/2011
Last updated
06/25/2015
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