MEDICARE: SWEETEST TOUCH HOME HEALTH SERVICES

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	:	1588220149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEETEST TOUCH HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	7635 SAN DIEGO AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-2122
Country	:	US
Telephone Number	:	314-919-6029
Fax Number	:

Provider Business Practice Location Address
First Line	:	7635 SAN DIEGO AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-2122
Country	:	US
Telephone Number	:	314-919-6029
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASMINE CLERK
Credential	:
Telephone Number	:	314-919-6029

Provider Enumeration Date	:	05/18/2019
Last Update Date	:	05/18/2019

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