Organization
A PEACEFUL HOME HEALTHCARE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KISHA C JACKSON (EXECUTIVE DIRECTOR)
(314) 329-7744
Entity
Organization
Contact information
Practice address
3920 LINDELL BLVD STE 208, SAINT LOUIS, MO 63108-3254
(314) 329-7744
(314) 601-3437
Mailing address
PO BOX 300502, SAINT LOUIS, MO 63130-0653
(314) 599-3652
(314) 601-3437
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
09/22/2023
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