Organization
REACHING OUT PRIVATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEREEN TAYLOR CNA (EXECUTIVE DIRECTOR)
(314) 989-0677
Entity
Organization
Contact information
Practice address
9369 OLIVE BLVD, STE 13, SAINT LOUIS, MO 63132-3217
(314) 989-0677
(314) 983-0677
Mailing address
9369 OLIVE BLVD, STE 13, SAINT LOUIS, MO 63132-3217
(314) 989-0677
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5843781999000
—
MO
Enumeration date
08/12/2011
Last updated
08/12/2011
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