MEDICARE: A FAMILY'S TOUCH ISL HOMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417707605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A FAMILY'S TOUCH ISL HOMES

Provider Business Mailing Address
First Line	:	620 VISTA CONN DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-3390
Country	:	US
Telephone Number	:	314-745-7466
Fax Number	:

Provider Business Practice Location Address
First Line	:	3008 S JEFFERSON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-1513
Country	:	US
Telephone Number	:	314-881-1597
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CHIMERE MARSHALL
Credential	:
Telephone Number	:	314-745-7466

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	03/22/2024

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