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Organization

HOUSE OF DESTINY IN HOME HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE TERRY (DIRECTOR)
(314) 669-1755
Entity
Organization

Contact information

Practice address
4507 OLIVE ST, SAINT LOUIS, MO 63108-1814
(314) 669-1755
Mailing address
4507 OLIVE ST, SAINT LOUIS, MO 63108-1814

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
12/10/2018
Last updated
12/10/2018
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