Organization
HARBOR LIGHT HOSPICE OF MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S THOME R.N. (CEO)
(630) 942-0100
Entity
Organization
Contact information
Practice address
2258 SCHUETZ RD, SUITE 116, SAINT LOUIS, MO 63146-3423
(314) 692-7211
Mailing address
800 ROOSEVELT RD STE C206, SUITE C-206, GLEN ELLYN, IL 60137-5851
(630) 942-0100
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
04/21/2014
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