Organization
NEW BEGINNINGS CDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GLENDA FAYE WHITE BSN, RN, (CEO)
(314) 993-5580
Entity
Organization
Contact information
Practice address
9374 OLIVE BLVD, STE 101, SAINT LOUIS, MO 63132-3253
(314) 993-5580
(314) 991-7745
Mailing address
9374 OLIVE BLVD, STE 101, SAINT LOUIS, MO 63132-3253
(314) 993-5580
(314) 991-7745
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639381403
—
MO
Enumeration date
11/30/2011
Last updated
11/30/2011
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