Organization
PLATINUM HEALTHCARE IN HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTAY SIMPSON (EXECUTIVE DIRECTOR)
(314) 395-8708
Entity
Organization
Contact information
Practice address
1735 S NEW FLORISSANT RD STE C, FLORISSANT, MO 63031-8300
(314) 395-8708
(314) 561-7489
Mailing address
1735 S NEW FLORISSANT RD STE C, FLORISSANT, MO 63031-8300
(314) 395-8708
(314) 561-7489
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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