Organization
ILLINOIS EXPRESS HOME CARE
Active
Parent organization
EXPRESS HOME CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXPRESS HOME CARE
Authorized official
MRS. DIANE SHELTON (ADMINISTRATOR)
(314) 727-0453
Entity
Organization
Contact information
Practice address
4601 STATE ST, EAST SAINT LOUIS, IL 62205-1359
(314) 727-0453
Mailing address
3641 OAKDALE AVE, SAINT LOUIS, MO 63121-5437
(314) 727-0453
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
4000369
IL
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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