Organization · NPI-2

1 Advamced In-Home Care, LLC

In Home Supportive Care · Florissant, MO

NPI number1972067882
StatusActive
Last updated in NPPESJan 24, 2019

Details

NPI
1972067882
Entity type
Organization (NPI-2)
Legal business name
1 Advamced In-Home Care, LLC
Organization subpart
No
Enumeration date
Jan 24, 2019
Last updated
Jan 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

855 Saddle Dr
Florissant, MO 63033-3734

Phone 314-494-1560 · Fax 314-438-1981

Mailing address

855 Saddle Dr
Florissant, MO 63033-3734

Phone 314-494-1560 · Fax 314-438-1981

Authorized official

Danita Ellen Knuckles
Owner/Manager
3144941560

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