Organization
IN HOME HEALTH LLC
Active
Other names
ProMedica Hospice (Washington), Heartland Hospice Services, ProMedica Hospice (Festus), ProMedica Hospice (St. Louis), ProMedica Hospice (Wentzville)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
12101 WOODCREST EXECUTIVE DR, SUITE 102, SAINT LOUIS, MO 63141-5047
(314) 453-0990
(314) 453-0290
Mailing address
333 N SUMMIT ST, ATTN DEAN SHIPMAN, TOLEDO, OH 43604-2615
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
110-7HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822059804
—
MO
Enumeration date
05/20/2006
Last updated
04/15/2022
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