Organization
IVORYRAE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL DENISE JACKSON (OWNER)
(314) 218-5164
Entity
Organization
Contact information
Practice address
100 RUE SAINT FRANCOIS ST STE 108, FLORISSANT, MO 63031-5131
(314) 218-5164
Mailing address
100 RUE SAINT FRANCOIS ST STE 108, FLORISSANT, MO 63031-5131
(314) 218-5164
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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