Organization
SUPPORTIVE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS DICKINSON (DIRECTOR)
(314) 606-0228
Entity
Organization
Contact information
Practice address
1360 S 5TH ST STE 304, SAINT CHARLES, MO 63301-2447
(314) 606-0228
Mailing address
1360 S 5TH ST STE 304, SAINT CHARLES, MO 63301-2447
(313) 606-0228
(636) 724-1691
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
10/13/2016
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