Organization
SUNNYSIDE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA L WATERS (EXECUTIVE DIRECTOR)
(314) 262-2081
Entity
Organization
Contact information
Practice address
3431 BRIDGELAND DR STE H, BRIDGETON, MO 63044-2648
(314) 262-2081
Mailing address
2065 WALTON RD STE 111, SAINT LOUIS, MO 63114-5805
(314) 262-2081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
08/29/2022
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