Organization
AMARIE'S HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA LATRICE DICKERSON (EXECUTIVE DIRECTOR)
(314) 368-5638
Entity
Organization
Contact information
Practice address
1916 LUCAS AVE APT 226, SAINT LOUIS, MO 63103-1746
(314) 368-5638
(314) 720-9273
Mailing address
1916 LUCAS AVE APT 226, SAINT LOUIS, MO 63103-1746
(314) 368-5638
(314) 720-9273
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143687538
—
MO
Enumeration date
03/31/2022
Last updated
03/31/2022
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