Organization
SOC HEALTH SOLUTIONS CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JOHNSON (DIRECTOR)
(314) 402-3347
Entity
Organization
Contact information
Practice address
5261 DELMAR BLVD STE 309B, SAINT LOUIS, MO 63108-1013
(470) 234-4198
Mailing address
5261 DELMAR BLVD STE 309B, SAINT LOUIS, MO 63108-1013
(470) 234-4198
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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