Organization
ADULT VISIONARY IN-HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA WILDER (CERTIFIED OPERATIONS MANAGER)
(314) 570-9051
Entity
Organization
Contact information
Practice address
7220 N LINDBERGH BLVD, SUITE 230, HAZELWOOD, MO 63042-2019
(314) 656-1411
(314) 656-1540
Mailing address
7220 N LINDBERGH BLVD, SUITE 230, HAZELWOOD, MO 63042-2019
(314) 656-1411
(314) 656-1540
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/04/2010
Last updated
07/04/2010
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