MEDICARE: UNFORGIVING LOVE HOME HEALTH SERVICES LLC

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	:	1063955110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNFORGIVING LOVE HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	4757 WESTMINSTER PL
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1805
Country	:	US
Telephone Number	:	314-280-1584
Fax Number	:

Provider Business Practice Location Address
First Line	:	4757 WESTMINSTER PL
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1805
Country	:	US
Telephone Number	:	314-280-1584
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	MR. PETER WILLIAMS
Credential	:
Telephone Number	:	314-280-1584

Provider Enumeration Date	:	11/22/2016
Last Update Date	:	11/22/2016

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