Organization
WHOLEHEARTEDLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDAMEISE HENRY (DIRECTOR)
(314) 504-2640
Entity
Organization
Contact information
Practice address
15509 DEBRIDGE WAY, FLORISSANT, MO 63034-3454
(314) 504-2640
(314) 451-7852
Mailing address
15509 DEBRIDGE WAY, FLORISSANT, MO 63034-3454
(314) 504-2640
(314) 451-7852
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
03/05/2020
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