Organization
HOME FOREVER PROFESSIONAL CARE LLC
Active
Other names
Home Forever Professional Care llc
Organization subpart
No
Provider details
NPI number
Authorized official
ETIENNA COLEMAN (CEO)
(314) 696-2219
Entity
Organization
Contact information
Practice address
3621 LOUISIANA AVE, SAINT LOUIS, MO 63118-3509
(314) 550-2990
Mailing address
3621 LOUISIANA AVE, SAINT LOUIS, MO 63118-3509
(314) 550-2990
(314) 696-2212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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