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Organization

FILLING THE GAP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RESHA R EVANS ALLEN (EXECECTIVE DIRECTOR)
(314) 397-7625
Entity
Organization

Contact information

Practice address
231 S BEMISTON AVE STE 800, CLAYTON, MO 63105-1925
(314) 397-7625
Mailing address
231 S BEMISTON AVE STE 800, CLAYTON, MO 63105-1925
(314) 397-7625

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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