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NPI Code Detail

MEDICARE: 3 SMILING HEARTS HOME HEALTHCARE LLC

MEDICARE: 3 SMILING HEARTS HOME HEALTHCARE 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 : 1790440873
Entity Type Code : Organization
Provider Name (Legal Business Name) : 3 SMILING HEARTS HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 1010 SELLS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63147-1809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 SELLS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63147-1809
Country : US
Telephone Number : 314-520-1380
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DENA L HARVEY
Credential :
Telephone Number : 314-520-1380
Provider Enumeration Date : 11/03/2021
Last Update Date : 11/03/2021

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