# DIRECTOR

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

## Provider details

- **NPI number:** 1275956286
- **Authorized official:** MARCUS DICKINSON (DIRECTOR/COORDINATOR)
- **Authorized official phone:** (314) 825-2084

## Contact information

- **Practice address:** 625 N EUCLID AVE STE 302, SAINT LOUIS, MO 63108-1690
- **Practice address phone:** (314) 825-2084
- **Mailing address:** 1112 WILD PLUM DR, SAINT PETERS, MO 63303-1208

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2014
- **Last updated:** 01/27/2014