| NPI | 1902494636 |
|---|---|
| Former Legal Business Name | LILLIE'S HOME HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | CANDACE HOSEA Owner/Manager 314-465-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |