Organization
CARE4AGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHIA PORTER (MANAGER)
(314) 629-1136
Entity
Organization
Contact information
Practice address
8936 MAYFIELD CT, SAINT LOUIS, MO 63136-5054
(314) 629-1136
Mailing address
8936 MAYFIELD CT, SAINT LOUIS, MO 63136-5054
(314) 629-1136
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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