Organization
PT HOME SERVICES OF MO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIGAY LASKIN (CONTRACT MANAGER)
(718) 468-4747
Entity
Organization
Contact information
Practice address
141 N MERAMEC AVE, #317, CLAYTON, MO 63105-3750
(314) 727-0229
(314) 727-3667
Mailing address
22215 NORTHERN BLVD, BAYSIDE, NY 11361-3603
(718) 468-4747
(718) 264-5834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3821
MO
Other
Enumeration date
01/26/2006
Last updated
07/17/2007
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