New Life In Home Services, LLC
In Home Supportive Care in Ferguson, MO. Organization (NPI-2).
NPI number1992306732
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1992306732
- Entity type
- Organization (NPI-2)
- Legal business name
- New Life In Home Services, LLC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2020
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
119 Church St Ste 220Ferguson, MO 63135-2460
Phone 314-731-4800 · Fax 314-731-4896
Mailing address
119 Church St Ste 220Ferguson, MO 63135-2460
Phone 314-731-4800 · Fax 314-731-4896
Authorized official
Vanteen Bailey
Director
3142263222
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