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Organization
HEALTHCARE STL
Active
Organization
HEALTHCARE STL
Active
Other names
Healthcare STL
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GRAY (OWNER)
(314) 261-4056
Entity
Organization
Contact information
Practice address
4144 LINDELL BLVD STE 327, SAINT LOUIS, MO 63108-2953
(314) 261-4056
Mailing address
4144 LINDELL BLVD STE 327, SAINT LOUIS, MO 63108-2953
(314) 261-4056
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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