Provider Demographics
NPI:1871101147
Name:INFUSION HEALTH CARE, LLC
Entity type:Organization
Organization Name:INFUSION HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYMONE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-665-5656
Mailing Address - Street 1:7220 N LINBERGH
Mailing Address - Street 2:SUITE 355
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042
Mailing Address - Country:US
Mailing Address - Phone:314-656-1447
Mailing Address - Fax:314-656-1547
Practice Address - Street 1:7220 N LINBERGH
Practice Address - Street 2:SUITE 355
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042
Practice Address - Country:US
Practice Address - Phone:314-656-1447
Practice Address - Fax:314-656-1547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health