# DELMAR GARDENS PRIVATE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delmar Gardens Private Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649265562
- **Authorized official:** MR. BRYAN MICHAEL BACKOWSKI (DIRECTOR)
- **Authorized official phone:** (636) 733-7330

## Contact information

- **Practice address:** 14805 N OUTER 40 RD STE 320A, CHESTERFIELD, MO 63017-6021
- **Practice address phone:** (636) 733-7100
- **Practice address fax:** (636) 733-7101
- **Mailing address:** 14805 N OUTER 40 RD STE 320A, CHESTERFIELD, MO 63017-6021
- **Mailing address phone:** (636) 733-7100
- **Mailing address fax:** (636) 733-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 01/09/2025