Organization
AMAZING GRACE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVA JOHNSON (EXECUTIVE DIRECTR)
(314) 458-6727
Entity
Organization
Contact information
Practice address
3159 FEE FEE RD, SUITE 221, BRIDGETON, MO 63044-3299
(314) 497-7518
Mailing address
3159 FEE FEE RD, SUITE 221, BRIDGETON, MO 63044-3299
(314) 497-7518
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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