Organization
AVODAH HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIVEB ARIOSA (OWNER/PRESIDENT)
(312) 852-5398
Entity
Organization
Contact information
Practice address
703 LORILLARD ST, SAINT PETERS, MO 63376-2423
(312) 852-5398
Mailing address
703 LORILLARD ST, SAINT PETERS, MO 63376-2423
(312) 852-5398
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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