Individual
CARLISSA HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 MERAMEC ST, SAINT LOUIS, MO 63118-4311
(314) 749-0152
(844) 316-0208
Mailing address
3310 MERAMEC ST, SAINT LOUIS, MO 63118-4311
(314) 749-0152
(844) 316-0208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC9814754
MO
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/26/2016
Last updated
06/08/2023
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