# COMPREHENSIVE INDEPENDENT GOALS INC ST LOUIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275854788
- **Authorized official:** MR. RONNIE MAX MCGOWAN (PRESIDENT & CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (866) 926-5192

## Contact information

- **Practice address:** 40 N KINGSHIGHWAY BLVD STE 6, SAINT LOUIS, MO 63108-1370
- **Practice address phone:** (866) 926-5192
- **Practice address fax:** (866) 926-5191
- **Mailing address:** PO BOX 66037, BATON ROUGE, LA 70896-6037
- **Mailing address phone:** (866) 926-5192
- **Mailing address fax:** (866) 926-5191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2010
- **Last updated:** 06/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1157384 | — | LA |
| 05 | — | 1157392 | — | LA |
| 05 | — | 1173835 | — | LA |
| 05 | — | 1642649 | — | LA |