Organization
ARDRENNA WHITE
Active
Other names
A-ONE-N HOME SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ARDRENNA DENISE WHITE PROVIDER (DIRECTOR)
(314) 344-5005
Entity
Organization
Contact information
Practice address
3466 BRIDGELAND DR STE 2163466, BRIDGETON, MO 63044-2626
(314) 344-5002
(314) 344-5003
Mailing address
3466 BRIDGELAND DR STE 2163466, BRIDGETON, MO 63044-2626
(314) 344-5002
(314) 344-5003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
MO
Enumeration date
05/14/2019
Last updated
05/14/2019
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