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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA HILL (EXECUTIVE DIRECTOR)
(314) 599-4427
Entity
Organization

Contact information

Practice address
7220 N LINDBERGH BLVD STE 190, HAZELWOOD, MO 63042-2019
(314) 653-6417
Mailing address
7220 N LINDBERGH BLVD STE 190, HAZELWOOD, MO 63042-2019
(314) 656-1446
(314) 656-1506

Taxonomy

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

Other

Enumeration date
09/26/2018
Last updated
01/28/2022
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