Healthcare Provider Details
I. General information
NPI: 1750947453
Provider Name (Legal Business Name): DILLONS HELPING HAND HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2019
Last Update Date: 05/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4346 LABADIE AVE
SAINT LOUIS MO
63115-2833
US
IV. Provider business mailing address
4346 LABADIE AVE
SAINT LOUIS MO
63115-2833
US
V. Phone/Fax
- Phone: 314-482-6221
- Fax:
- Phone: 314-482-6221
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KATRINA
DILLON
Title or Position: OWNER
Credential:
Phone: 314-482-6221