Individual
SHERRY D MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 SOUTHERNSIDE LN, O FALLON, MO 63368-8431
(314) 536-2261
Mailing address
835 SOUTHERNSIDE LN, O FALLON, MO 63368-8431
(314) 536-2261
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
02/11/2025
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