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Organization

ELDERCARE PROFESSIONAL IN HOME HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALFRED BLAKEMORE (PRESIDENT)
(314) 664-8616
Entity
Organization

Contact information

Practice address
3642 BOTANICAL AVE, SAINT LOUIS, MO 63110-4002
(314) 664-8616
Mailing address
3642 BOTANICAL AVE, SAINT LOUIS, MO 63110-4002
(314) 664-8616

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MO

Other

Enumeration date
05/07/2008
Last updated
05/07/2008
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