Organization
HEALTHLINE HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARINA SHENDEROV (ADMINISTRATOR)
(636) 386-8228
Entity
Organization
Contact information
Practice address
930 KEHRS MILL RD, SUITE 325-10, BALLWIN, MO 63011-2462
(636) 386-8228
(636) 386-8245
Mailing address
930 KEHRS MILL RD, SUITE 325-10, BALLWIN, MO 63011-2462
(636) 386-8228
(636) 386-8245
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
773
MO
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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