Organization
MY MOTHERS WISH HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ELAINE SIMMONS (HEALTHCARE PROVIDER)
(314) 363-1726
Entity
Organization
Contact information
Practice address
7004 PLYMOUTH AVE, SAINT LOUIS, MO 63130-2451
(314) 363-1726
Mailing address
7004 PLYMOUTH AVE, SAINT LOUIS, MO 63130-2451
(314) 363-1726
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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