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Organization

RIVER VALLEY IN-HOME SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN P BOSEN (PRESIDENT/CEO)
(314) 282-2957
Entity
Organization

Contact information

Practice address
111 LEROUX ST, DONIPHAN, MO 63935-1038
(314) 282-2957
(314) 282-2967
Mailing address
11796 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3402
(314) 282-2957

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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