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Organization

PEARLS PROFESSIONAL HOME HEALTH AGENCY PHASE II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANIA VICTORY (MEMBER)
(314) 731-6021
Entity
Organization

Contact information

Practice address
2780 SAINT CATHERINE ST, FLORISSANT, MO 63033-3626
(314) 731-6021
(314) 731-6043
Mailing address
2780 SAINT CATHERINE ST, FLORISSANT, MO 63033-3626
(314) 731-6021
(314) 731-6043

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018742
MO
Enumeration date
08/28/2020
Last updated
08/28/2020
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