Individual provider · Type 1 NPI

Shavondah Porter

Home Health Agency · St. Louis, MO

NPI number 1437478609 Active

Practice location

6714 Etzel Ave
St. Louis, MO 63130-2427

Call (314) 941-2705 Map

Fax (314) 769-9717

Mailing address

PO Box 4919
St. Louis, MO 63108-0919

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1437478609

Shavondah Porter's National Provider Identifier is 1437478609, issued on May 26, 2010. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in St. Louis, MO. The record was last updated on May 26, 2010.