Provider Demographics
NPI:1720499379
Name:A KEY TO LIFE HOME HEALTHCARE
Entity Type:Organization
Organization Name:A KEY TO LIFE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-757-6465
Mailing Address - Street 1:2917 NATURAL BRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63107-2511
Mailing Address - Country:US
Mailing Address - Phone:314-757-6465
Mailing Address - Fax:314-357-4077
Practice Address - Street 1:2917 NATURAL BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63107-2511
Practice Address - Country:US
Practice Address - Phone:314-757-6465
Practice Address - Fax:314-357-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health