Organization
INNOVATIVE LIVING SOLUTION IN HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE PAGE (DIRECTOR)
(314) 535-7000
Entity
Organization
Contact information
Practice address
4469 WASHINGTON BLVD, SAINT LOUIS, MO 63108-1820
(314) 535-7000
(314) 535-7001
Mailing address
4469 WASHINGTON BLVD, SAINT LOUIS, MO 63108-1820
(314) 535-7000
(314) 535-7001
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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