Healthline Homecare Agency LLC

NPI #1780601450 in Ballwin, Missouri

Provider Information

NPI Number: 1780601450
Entity Type: Organization
Organization Name: Healthline Homecare Agency LLC
Primary Specialty: Home Health
Enumeration Date: Jul 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 930 KEHRS MILL RD
Address 2: SUITE 325-10
City: Ballwin
State: Missouri
ZIP Code: 63011-2462
Phone: (636) 386-8228

Authorized Official

Name: MRS. KARINA SHENDEROV
Title: ADMINISTRATOR
Phone: (636) 386-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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