Organization
MEDICAL IN-HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTOINE WILEY (MANAGER)
(314) 653-6213
Entity
Organization
Contact information
Practice address
5201 BAY POINT DR., FLORISSANT, MO 63034-1734
(314) 653-6213
(314) 653-0653
Mailing address
5201 BAY POINT DR., FLORISSANT, MO 63034-1734
(314) 653-0653
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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