Organization
CARINGLEGENDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA C MCKAY LPN (EXECUTIVE/CLINICAL DIRECTOR)
(314) 600-7077
Entity
Organization
Contact information
Practice address
4244 ELLENWOOD AVE, SAINT LOUIS, MO 63116-2506
(314) 666-9550
(314) 832-9210
Mailing address
4244 ELLENWOOD AVE, SAINT LOUIS, MO 63116-2506
(314) 666-9550
(314) 832-9210
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
MO
Enumeration date
10/26/2015
Last updated
10/26/2015
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