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Organization
ESPECIAL NEEDS, LLC
Active
Organization
ESPECIAL NEEDS, LLC
Active
Other names
eSpecial Needs
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A KOURI (SALES MANAGER)
(314) 692-2424
Entity
Organization
Contact information
Practice address
1850 BORMAN COURT, SAINT LOUIS, MO 63146
(314) 692-2424
(800) 664-4534
Mailing address
1850 BORMAN COURT, SAINT LOUIS, MO 63146
(314) 692-2424
(800) 664-4534
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ER504401015
MEDICAID WAIVER
MO
Enumeration date
06/04/2009
Last updated
05/07/2019
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