Organization · NPI-2
Personalized Home Health Care Services
In Home Supportive Care · Florissant, MO
NPI number1184254997
StatusActive
Last updated in NPPESNov 3, 2022
Details
- NPI
- 1184254997
- Entity type
- Organization (NPI-2)
- Legal business name
- Personalized Home Health Care Services
- Organization subpart
- No
- Enumeration date
- Jan 21, 2020
- Certification date
- Nov 3, 2022
- Last updated
- Nov 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – |
Practice location
3238 Parker RdFlorissant, MO 63033-3733
Phone 314-741-4836 · Fax 770-559-8792
Mailing address
3238 Parker RdFlorissant, MO 63033-3733
Phone 770-559-7474 · Fax 770-559-8792
Authorized official
Anthony West
Chief Operations Officer
7705597474
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