Organization
GENTLE HANDS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAUNICE NICOLE SHELTON BSN, RN (OWNER)
(636) 465-3004
Entity
Organization
Contact information
Practice address
6439 PLYMOUTH AVE STE 127, SAINT LOUIS, MO 63133-1940
(636) 465-3004
(314) 833-3170
Mailing address
6439 PLYMOUTH AVE STE 127, SAINT LOUIS, MO 63133-1940
(636) 465-3004
(314) 833-3170
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598140758
—
MO
Enumeration date
07/29/2015
Last updated
08/06/2024
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