Healthcare Provider Details

I. General information

NPI: 1316371040
Provider Name (Legal Business Name): RIGHT IN HOME CDS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2013
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 AVANT DR APT K
HAZELWOOD MO
63042-3564
US

IV. Provider business mailing address

311 AVANT DR APT K
HAZELWOOD MO
63042-3564
US

V. Phone/Fax

Practice location:
  • Phone: 314-443-4023
  • Fax: 314-839-5914
Mailing address:
  • Phone: 314-443-4023
  • Fax: 314-839-5914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMO

VIII. Authorized Official

Name: MISS TRINA MARIE SLATER
Title or Position: OWNER/MANAGER
Credential:
Phone: 313-443-4073