Organization
PRIVATE NURSING SERVICE INC.
Active
Other names
Independent Nurses
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SUE HICKS (PRESIDENT)
(314) 544-2020
Entity
Organization
Contact information
Practice address
9713 GRAVOIS RD, ST. LOUIS, MO 63123-4346
(314) 544-2020
(314) 544-2645
Mailing address
9713 GRAVOIS RD., ST. LOUIS, MO 63123-4346
(314) 544-2020
(314) 544-2645
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MO
251E00000X
Home Health Agency
—
MO
251X00000X
Supports Brokerage Agency
—
MO
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261896500
—
MO
Enumeration date
10/27/2006
Last updated
08/30/2012
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