Organization
HOME4LIFE HOME CARE L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANIEE HARRIS-SMITH (OWNER, MANAGER)
(314) 897-0993
Entity
Organization
Contact information
Practice address
1033 CORPORATE SQUARE DR # 102, SAINT LOUIS, MO 63132-2928
(314) 897-0993
Mailing address
1033 CORPORATE SQUARE DR # 102, SAINT LOUIS, MO 63132-2928
(314) 897-0993
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016986
—
MO
Enumeration date
10/14/2022
Last updated
01/28/2023
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