Organization
LIFT A LIFE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEATRICE MARSHALL (DIRECTOR)
(314) 276-0300
Entity
Organization
Contact information
Practice address
12431 SEA LANE DR, FLORISSANT, MO 63033-4709
(314) 276-0300
(866) 297-1008
Mailing address
12431 SEA LANE DR, FLORISSANT, MO 63033-4709
(314) 276-0300
(866) 297-1008
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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