Organization
CHANGING LIVES HOME CARE ASSISTANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY PEARSON LPN (OWNER/OPERATOR)
(314) 489-5552
Entity
Organization
Contact information
Practice address
2 CITYPLACE DR STE 200, SAINT LOUIS, MO 63141-7055
(314) 489-5552
(314) 812-4704
Mailing address
1839 ROCKMOOR DR, CHESTERFIELD, MO 63017-5414
(314) 489-5552
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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