# INTERACTIVE PCA SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interactive PCA Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164141859
- **Authorized official:** MS. STACY A EVANS (DIRECTOR)
- **Authorized official phone:** (504) 453-7377

## Contact information

- **Practice address:** 5876 DELMAR BLVD STE A, SAINT LOUIS, MO 63112-2338
- **Practice address phone:** (314) 328-1038
- **Practice address fax:** (314) 328-1037
- **Mailing address:** 5876 DELMAR BLVD STE A, SAINT LOUIS, MO 63112-2338
- **Mailing address phone:** (314) 328-1328
- **Mailing address fax:** (314) 328-1327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2022
- **Last updated:** 08/25/2022