Organization
IDENTITY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY T MORROW SR. (PRESIDENT)
(314) 252-0580
Entity
Organization
Contact information
Practice address
1456 GOODFELLOW BLVD, SAINT LOUIS, MO 63112-3736
(314) 252-0580
Mailing address
1456 GOODFELLOW BLVD, SAINT LOUIS, MO 63112-3736
(314) 252-0580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/07/2013
Last updated
09/07/2013
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