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Organization
PRIVATE NURSING SERVICE INC.
Active
Organization
PRIVATE NURSING SERVICE INC.
Active
Other names
Independent Nurses
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SUE HICKS (PRESIDENT)
(314) 544-2020
Entity
Organization
Contact information
Practice address
9713 GRAVOIS RD, ST. LOUIS, MO 63123-4346
(314) 544-2020
(314) 544-2645
Mailing address
9713 GRAVOIS RD., ST. LOUIS, MO 63123-4346
(314) 544-2020
(314) 544-2645
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MO
251E00000X
Home Health Agency
—
MO
251X00000X
Supports Brokerage Agency
—
MO
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261896500
—
MO
Enumeration date
10/27/2006
Last updated
08/30/2012
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