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Organization

BJC HOME CARE SERVICES

Active
Other names
BJC Home Medical Equipment
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA MARTIN-DAVIS (PRESIDENT)
(314) 206-3712
Entity
Organization

Contact information

Practice address
710 SOUTH BOYLE AVENUE, SAINT LOUIS, MO 63110
(314) 953-2000
(314) 953-2140
Mailing address
710 S BOYLE AVE, SAINT LOUIS, MO 63110-1630
(314) 953-2000
(314) 953-2140

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BX2000X
Oxygen Equipment & Supplies (DME)
203000193
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
602514408
MO
05
622514404
MO
05
=========
IL
Enumeration date
08/08/2006
Last updated
11/10/2025
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