Organization
PHENOMENAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIPPIA CARTER (OWNER)
(314) 203-9021
Entity
Organization
Contact information
Practice address
704 BROWNBERT CT, SAINT LOUIS, MO 63119-1302
(314) 203-9021
Mailing address
704 BROWNBERT CT, SAINT LOUIS, MO 63119-1302
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
About Stedi
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