Organization
SHEA HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE SEYER (PRESIDENT)
(314) 872-7749
Entity
Organization
Contact information
Practice address
9378 OLIVE BLVD STE 101, SAINT LOUIS, MO 63132-3222
(314) 872-7749
Mailing address
9378 OLIVE BLVD STE 101, SAINT LOUIS, MO 63132-3222
(314) 872-7749
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0010348
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010348
—
MO
Enumeration date
10/08/2010
Last updated
12/08/2017
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