Organization
DELIGHTFUL LIVING HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHONA L BLANKS LPN (CEO/MEMBER)
(314) 365-0083
Entity
Organization
Contact information
Practice address
111 CHURCH ST STE 208A, FERGUSON, MO 63135-2438
(314) 365-0083
(314) 463-4366
Mailing address
111 CHURCH ST STE 208A, FERGUSON, MO 63135-2438
(314) 365-0083
(314) 463-4366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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