Organization
HOME AWAY FROM HOME IN HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYIELLE BURKS (DIRECTOR)
(314) 827-2255
Entity
Organization
Contact information
Practice address
6821 S BROADWAY, SAINT LOUIS, MO 63111-3116
(314) 827-2255
Mailing address
222 N MASON RD, SAINT LOUIS, MO 63141-7327
(314) 827-2255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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