Organization
GORDON PRIVATE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMEKA TAYLOR-GORDON (MEMBER MANAGER)
(314) 780-1089
Entity
Organization
Contact information
Practice address
11058 FLORENCE AVE, SAINT ANN, MO 63074-2119
(314) 780-1089
(866) 950-4040
Mailing address
11058 FLORENCE AVE, SAINT ANN, MO 63074-2119
(314) 780-1089
(866) 950-4040
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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