Organization
PURE FAITH HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMANI EASLEY (EXECUTIVE DIRECTOR)
(314) 280-6961
Entity
Organization
Contact information
Practice address
1340 DEL REY DR, FLORISSANT, MO 63031-4225
(131) 428-0696
Mailing address
1340 DEL REY DR, FLORISSANT, MO 63031-4225
(131) 428-0696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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