| Organization Name: | PERSONAL HOME CARE SERVICES, LLC |
| NPI Number: | 1295047439 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YOLANDA R SMITH (ADMINISTRATOR) |
| Mailing Address: | 11406 Granger Trl Florissant |
| State: | MO US |
| Postal Code: | 630337704 |
| Phone Number: | 3149419573 |
| Fax Number: | 3145337249 |
| NPI Enumeration Date: | 07/03/2010 |
| NPI Last Update Date: | 07/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |