Organization
AGELESS HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE LEE WATKINS (DIRECTOR)
(314) 320-1080
Entity
Organization
Contact information
Practice address
11191 LANDSEER DR, SAINT LOUIS, MO 63136-5800
(314) 320-1080
(314) 752-4451
Mailing address
5822 S GRAND BLVE 1ST FL, SAINT LOUIS, MO 63111
(314) 320-1080
(314) 752-4451
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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