Organization
MINA HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASRA ADAN MS (DIRECTOR)
(314) 314-5374
Entity
Organization
Contact information
Practice address
1451 MULLANPHY ST, SAINT LOUIS, MO 63106-3114
(314) 443-9132
(636) 222-8105
Mailing address
1213 ROCKRIDGE PL, SAINT LOUIS, MO 63122-7351
(314) 537-4293
(314) 822-8105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
08/06/2025
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