Organization
MISSOURI PROFESSIONAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED WARSAME (OWNER)
(612) 644-0026
Entity
Organization
Contact information
Practice address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
(612) 644-0026
Mailing address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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