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NPI Code Detail

MEDICARE: HEAVENLY HANDS IN HOME CARE, INC

MEDICARE: HEAVENLY HANDS IN HOME CARE, INC
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 : 1942735998
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEAVENLY HANDS IN HOME CARE, INC
Provider Business Mailing Address
First Line : 5018 LOTUS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63113-1126
Country : US
Telephone Number : 314-809-0326
Fax Number :
Provider Business Practice Location Address
First Line : 5018 LOTUS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63113-1126
Country : US
Telephone Number : 314-809-0326
Fax Number : 314-769-9278
Authorized Official
Title or Position : OWNER
Name : MOLLYE AUSTIN
Credential :
Telephone Number : 314-809-0326
Provider Enumeration Date : 04/27/2017
Last Update Date : 04/27/2017

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Directions to “HEAVENLY HANDS IN HOME CARE, INC ” Practice Location

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