Healthcare Provider Details

I. General information

NPI: 1659677169
Provider Name (Legal Business Name): TO LEND A HAND IN-HOME SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4575 VARRELMANN AVE
SAINT LOUIS MO
63116-2415
US

IV. Provider business mailing address

4575 VARRELMANN AVE
SAINT LOUIS MO
63116-2415
US

V. Phone/Fax

Practice location:
  • Phone: 314-537-1654
  • Fax: 314-481-8797
Mailing address:
  • Phone: 314-537-1654
  • Fax: 314-481-8797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LAWANDA ELIZABETH MORRIS
Title or Position: PRESIDENT/DESIGNATED MANAGER
Credential:
Phone: 314-537-1654