Organization
VICTOR J WHITTIER SR LLC
Active
Organization
VICTOR J WHITTIER SR LLC
Active
Parent organization
SPECIAL ATTENTION INTERVENTION NEEDS & TRANSPORTATION SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIAL ATTENTION INTERVENTION NEEDS & TRANSPORTATION SERVICES
Authorized official
MR. VICTOR JEROME WHITTIER SR. AS, BS, MSCJ, RASAC (OWNER/CEO)
(314) 580-9907
Entity
Organization
Contact information
Practice address
1108 COVE LN, SAINT LOUIS, MO 63138-3047
(314) 580-9907
Mailing address
1108 COVE LN, SAINT LOUIS, MO 63138-3047
(314) 580-9907
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MO
251C00000X
Developmentally Disabled Services Day Training Agency
—
MO
251S00000X
Community/Behavioral Health Agency
—
MO
253Z00000X
In Home Supportive Care Agency
—
MO
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MO
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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