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Organization

DIVERSIFIED HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NINA KEY (MANAGER)
(314) 363-4532
Entity
Organization

Contact information

Practice address
111 WESTPORT PLAZA STE. 600, ST. LOUIS, MO 63146
(314) 363-4532
Mailing address
111 WESTPORT PLAZA STE. 600, ST. LOUIS, MO 63146

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
12/08/2015
Last updated
12/08/2015
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