Organization
KWALITY IN HOME SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANEKA LYNNE GREEN (OWNER)
(314) 551-2279
Entity
Organization
Contact information
Practice address
220 HEREFORD AVE, FERGUSON, MO 63135-1909
(314) 551-2279
(314) 551-2280
Mailing address
220 HEREFORD AVE, FERGUSON, MO 63135-1909
(314) 551-2279
(314) 551-2280
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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