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NPI Code Detail

MEDICARE: CIRCLE OF LUV HOME HEALTH CARE LLC

MEDICARE: CIRCLE OF LUV HOME HEALTH CARE 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
1251E00000XHome Health AgencyMO

General Provider Information

NPI Number : 1124479423
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIRCLE OF LUV HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 2818 RUSSELL BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-2138
Country : US
Telephone Number : 314-305-0128
Fax Number : 314-310-0051
Provider Business Practice Location Address
First Line : 2818 RUSSELL BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-2138
Country : US
Telephone Number : 314-305-0128
Fax Number : 314-310-0051
Authorized Official
Title or Position : DIRECTOR
Name : MR. STEVIE PATRICK
Credential :
Telephone Number : 314-305-0128
Provider Enumeration Date : 06/28/2016
Last Update Date : 02/25/2017

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Directions to “CIRCLE OF LUV HOME HEALTH CARE LLC ” Practice Location

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