Organization
ADVANTAGE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONELL C LACY (MANAGER)
(314) 647-4010
Entity
Organization
Contact information
Practice address
1329 MACKLIND AVE, SUITE 205, SAINT LOUIS, MO 63110-1400
(314) 647-4010
Mailing address
1329 MACKLIND AVE, SUITE 205, SAINT LOUIS, MO 63110-1400
(314) 647-4010
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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