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Organization

FACTS OF LIFE IN HOME SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA HARRIS (ADMINISTRATOR)
(636) 925-0202
Entity
Organization

Contact information

Practice address
820 S MAIN ST STE 204, SAINT CHARLES, MO 63301-3306
(636) 925-0202
(636) 925-0117
Mailing address
820 S MAIN ST STE 204, SAINT CHARLES, MO 63301-3306
(636) 925-0202
(636) 925-0117

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
01/12/2009
Last updated
10/08/2025
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