Individual
ANGELA DENISE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2128 STANSBURY ST, SAINT LOUIS, MO 63118-4137
(314) 599-3012
Mailing address
2128 STANSBURY ST, SAINT LOUIS, MO 63118-4137
(314) 938-6026
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
05/01/2023
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