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NPI Code Detail

MEDICARE: A HEAVENLY HAND HOME HEALTHCARE, INC

MEDICARE: A HEAVENLY HAND HOME HEALTHCARE, INC
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122548629OTHERMO22548629

General Provider Information

NPI Number : 1811367212
Entity Type Code : Organization
Provider Name (Legal Business Name) : A HEAVENLY HAND HOME HEALTHCARE, INC
Provider Business Mailing Address
First Line : 100 S 4TH ST
Second Line : STE. 529
City : SAINT LOUIS
State : MO
Zip : 63102-1800
Country : US
Telephone Number : 314-699-4003
Fax Number :
Provider Business Practice Location Address
First Line : 100 S 4TH ST STE 550
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63102-1897
Country : US
Telephone Number : 314-699-4003
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DELENTHEGIA HAWKINS
Credential :
Telephone Number : 314-699-4003
Provider Enumeration Date : 09/29/2015
Last Update Date : 02/10/2021

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Directions to “A HEAVENLY HAND HOME HEALTHCARE, INC ” Practice Location

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