Organization
THOMPSON HOME HEALTH TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRA J MOORE (OFFICE MANAGER)
(314) 371-1550
Entity
Organization
Contact information
Practice address
3101 OLIVE STREET, ST LOUIS, MO 63103
(314) 371-1550
(314) 371-1551
Mailing address
3101 OLIVE STREET, ST LOUIS, MO 63103
(314) 371-1550
(314) 371-1551
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
LC9641631
MO
372600000X
Adult Companion
LC9641631
MO
374U00000X
Home Health Aide
Primary
LC9641631
MO
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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