Wellformed AI

NPI 1609615400 · live from the CMS NPI Registry

A Place To Mend Residential & Home Healthcare LLC

Home Health in Saint Louis, MO. National Provider Identifier 1609615400, active.

NPI record

NPI1609615400 Type 2 · organization
StatusActive
Primary specialtyHome Health 251E00000X
Practice location1409 Washington Ave Ste 404, Saint Louis, MO 63103
Practice phone314-296-3291
EnumeratedMay 21, 2024
Last updatedMay 23, 2024
Authorized officialKenyatta Clark, Executive Director
Other namesA Place To Mend Home Healthcare

Taxonomies and licenses

TaxonomyCodeLicense
Home Health primary251E00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.