Organization
LOVE LIKE FAMILY CDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA HARRELL (OWNER)
(314) 441-2172
Entity
Organization
Contact information
Practice address
554 COACH LIGHT LN, HAZELWOOD, MO 63042-1914
(314) 441-2172
Mailing address
554 COACH LIGHT LN, HAZELWOOD, MO 63042-1914
(314) 441-2172
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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