Organization · NPI-2

Advantage In-Home Services, LLC

Home Health · Saint Louis, MO

NPI number1194975326

StatusActive

Last updated in NPPESJun 13, 2023

Details

NPI: 1194975326
Entity type: Organization (NPI-2)
Legal business name: Advantage In-Home Services, LLC
Organization subpart: No
Enumeration date: Sep 24, 2008
Certification date: Jun 13, 2023
Last updated: Jun 13, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
376J00000X	Homemaker	–	–

Practice location

11796 Westline Industrial Dr
Saint Louis, MO 63146-3402

Phone 314-282-2957 · Fax 314-282-2967

Mailing address

11796 Westline Industrial Dr
Saint Louis, MO 63146-3402

Phone 314-282-2957 · Fax 314-282-2967

Authorized official

John P Bosen
Ceo
3142822957

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