Organization
QUALICARE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONJA BONNER (EXECUTIVE DIRECTOR)
(314) 810-2608
Entity
Organization
Contact information
Practice address
5821 RIVERVIEW BLVD, SAINT LOUIS, MO 63147-1023
(314) 810-2608
Mailing address
5821 RIVERVIEW BLVD, SAINT LOUIS, MO 63147-1023
(314) 810-2608
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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