Organization
EMANUEL HOUSE AUTISM IS ME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEMICIA LYNN SIPES (CEO)
(314) 348-2638
Entity
Organization
Contact information
Practice address
930 SMITHSHIRE AVE, FERGUSON, MO 63135-1767
(314) 348-2638
Mailing address
930 SMITHSHIRE AVE, SAINT LOUIS, MO 63135-1767
(314) 348-2638
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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