A Living Water in Home Health Services LLC

Organization Active NPI Home Health Agency · Saint Louis, MO

NPI 1669913778 · NPPES record last updated Mar 9, 2017

Key facts

NPI
1669913778
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
A LIVING WATER IN HOME HEALTH SERVICES LLC
Practice address
3029 Saint Vincent Ave
Saint Louis, MO 63104-1421
Phone
(314) 874-9616
Fax
(314) 000-0000
NPI assigned
Mar 9, 2017
Organization subpart
No

Authorized official

Name
Delores Bingham
Title
Director
Phone
(314) 874-9616

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

3029 Saint Vincent Ave
Saint Louis, MO 63104-1421

Mailing address

3029 Saint Vincent
Saint Louis, MO 63104
Phone (314) 874-9616

Other identifiers

IdentifierTypeStateIssuer
251E00000XMedicaidMO

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Home Health Agency in Missouri

Sources for this page

Verify at the official NPI Registry.