Lrt Professional Health Services INC

NPI #1265639090 in Ferguson, Missouri

Provider Information

NPI Number: 1265639090
Entity Type: Organization
Organization Name: Lrt Professional Health Services INC
Primary Specialty: Home Health
Enumeration Date: Jun 27, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 602 HUNTERS RIDGE DR
City: Ferguson
State: Missouri
ZIP Code: 63135
Phone: (314) 521-1449

Authorized Official

Name: MRS. LADONIA PAYNE WIKON, MA
Title: DIRECTOR
Phone: (314) 521-1569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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