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NPI Code Detail

MEDICARE: UNITED AT HOME LLC

MEDICARE: UNITED AT HOME 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 Agency

General Provider Information

NPI Number : 1275918815
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED AT HOME LLC
Provider Business Mailing Address
First Line : 3217 LEMAY FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4419
Country : US
Telephone Number : 314-329-6873
Fax Number :
Provider Business Practice Location Address
First Line : 3217 LEMAY FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4419
Country : US
Telephone Number : 314-329-6873
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : KHANH BUI
Credential :
Telephone Number : 314-919-5214
Provider Enumeration Date : 07/24/2015
Last Update Date : 07/27/2015

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Directions to “UNITED AT HOME LLC ” Practice Location

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