Organization
AFFINITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYEONTA STEWART BSW,MA (ADMINISTRATOR)
(314) 744-9844
Entity
Organization
Contact information
Practice address
3720 HAMPTON AVE STE 102A, SAINT LOUIS, MO 63109-1438
(314) 744-9844
Mailing address
3720 HAMPTON AVE STE 102A, SAINT LOUIS, MO 63109-1438
(314) 744-9844
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC001490103
MO
Other
Enumeration date
12/07/2016
Last updated
09/25/2023
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