Organization
EXTENDED QUALITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANEAL JOHNSON (EXECUTIVE DIRECTOR)
(314) 546-9417
Entity
Organization
Contact information
Practice address
322 PLAZA AVE, SAINT LOUIS, MO 63135-2547
(314) 546-9417
Mailing address
322 PLAZA AVE, SAINT LOUIS, MO 63135-2547
(314) 546-9417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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