Organization
BREAKTHROUGH IN HOME SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE REID-WALLER (OWNER)
(314) 246-0861
Entity
Organization
Contact information
Practice address
10630 LANDSEER DR, SAINT LOUIS, MO 63136-4548
(314) 246-0861
Mailing address
10630 LANDSEER DR, SAINT LOUIS, MO 63136-4548
(314) 246-0861
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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