Organization
INDEPENDENT HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE PATRICE DINWIDDIE (OWNER/MANAGER)
(314) 324-1260
Entity
Organization
Contact information
Practice address
10608 CROWLEY DR, SAINT LOUIS, MO 63136-2427
(314) 521-7777
(314) 521-7777
Mailing address
10608 CROWLEY DR, SAINT LOUIS, MO 63136-2427
(314) 521-7777
(314) 521-7777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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