Organization
PATHLIGHT HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR SHARP (OWNER/MANAGER)
(314) 479-7260
Entity
Organization
Contact information
Practice address
3741 PAGE BLVD STE A, SAINT LOUIS, MO 63113-3809
(314) 479-7260
Mailing address
3741 PAGE BLVD STE A, SAINT LOUIS, MO 63113-3809
(314) 479-7260
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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