OrganizationActive
1st Home Away From Home LLC
NPI 1174284939 · Home Health Agency · Saint Louis, MO
Provider details
- NPI number
- 1174284939
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lawanda Guest, Executive Director(314) 479-1673
Specialties & taxonomies
Agencies
Practice location
4735 Plover Ave
Saint Louis, MO 63120-1822
Phone: (314) 479-1673
Approximate (ZIP-level) locationGet directions
Mailing address
4735 Plover Ave
Saint Louis, MO 63120-1822
Registry dates
- Enumerated
- 2022-01-04
- Last updated
- 2022-01-04
- Certified
- 2022-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.