Organization
PROFESSIONAL HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK S KARIM (CEO)
(636) 946-5051
Entity
Organization
Contact information
Practice address
2730 S SAINT PETERS PKWY, SUITE 300, SAINT PETERS, MO 63303-5677
(636) 946-5051
(636) 946-5039
Mailing address
2730 S SAINT PETERS PKWY, SUITE 300, SAINT PETERS, MO 63303-5677
(636) 946-5051
(636) 946-5039
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
267593
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586221509
—
MO
Enumeration date
01/03/2006
Last updated
03/28/2014
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