Organization
ADULT VISIONARY IN-HOME SERVICES, INC.
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA LOUISE WILDER (CEO)
(314) 656-1411
Entity
Organization
Contact information
Practice address
7220 N LINDBERGH BLVD, SUITE 220, HAZELWOOD, MO 63042-2019
(314) 656-1411
(314) 656-1540
Mailing address
7220 N LINDBERGH BLVD, SUITE 220, HAZELWOOD, MO 63042-2019
(314) 656-1411
(314) 656-1540
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
07/13/2011
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