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Organization

OUTREACH HOME HEALTHCARE AGENCY IN HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAYA TURNER (OWNER)
(314) 755-1138
Entity
Organization

Contact information

Practice address
10351 CAPITOL DR, SAINT LOUIS, MO 63136-4305
(314) 755-1138
(314) 867-2133
Mailing address
10351 CAPITOL DR, SAINT LOUIS, MO 63136-4305
(314) 755-1138
(314) 867-2133

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
305R00000X
Preferred Provider Organization
3747P1801X
Personal Care Attendant

Other

Enumeration date
02/24/2020
Last updated
11/03/2022
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