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Family Legacy Home Health Care
Home Health Agency in Black Jack, Missouri
NPI 1114690906

Family Legacy Home Health Care is a Home Health Agency based in Black Jack, MO. Family Legacy Home Health Care practices in Black Jack, MO. The NPI Number for Family Legacy Home Health Care is 1114690906 and holds a License No. (Missouri).

The current practice location address for Family Legacy Home Health Care is 12633 Stoneridge Dr, Black Jack, MO and can be reached out via phone at 314-651-7172 and via fax at 314-653-0258.

Location: 12633 Stoneridge Dr, Black Jack, MO, 63033-4618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114690906
Provider Name
Family Legacy Home Health Care
Credential
Provider Entity Type
Organization
Address
12633 Stoneridge Dr, Black Jack, MO, 63033-4618
Phone Number
314-651-7172
Fax Number
314-653-0258
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12633 Stoneridge Dr
City
Black Jack
State
Missouri
Zip
63033-4618
Phone Number
314-651-7172
Fax Number
314-653-0258
person
Provider Business Mailing Address Details
Address
12633 Stoneridge Dr
City
Black Jack
State
Missouri
Zip
63033-4618
Phone Number
314-651-7172
Fax Number
314-653-0258
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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