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Organization
LIFECARE MISSOURI INC.
Active
Organization
LIFECARE MISSOURI INC.
Active
Other names
BrightStar of Kirkwood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. SCARLETT (OWNER)
(630) 697-8844
Entity
Organization
Contact information
Practice address
2190 S. MASON ROAD, SUITE 204, ST. LOUIS, MO 63131
(314) 984-8650
(314) 909-1033
Mailing address
2190 S. MASON ROAD, SUITE 204, ST. LOUIS, MO 63131
(314) 984-8650
(314) 909-1033
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
835-HH
MO
251F00000X
Home Infusion Agency
835-HH
MO
251J00000X
Nursing Care Agency
835-HH
MO
253Z00000X
In Home Supportive Care Agency
835-HH
MO
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
07/15/2009
Last updated
04/24/2012
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