Organization
HEAL 4 RTG HOME HEALTH CARE CDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY PURTTY (EXECUTIVE DIRECTOR)
(314) 623-5040
Entity
Organization
Contact information
Practice address
7129 WOODROW AVE, ST LOUIS, MO 63121
(314) 623-5040
Mailing address
P O BOX 210204, ST LOUIS, MO 63121
(314) 623-5040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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