Individual
JASON RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 S 5TH ST, SUITE #200, SAINT CHARLES, MO 63301-2449
(314) 283-6084
Mailing address
PO BOX 32863, SAINT LOUIS, MO 63132-8863
(314) 283-6084
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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