Organization
FAITH HOSPICE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVA FAITH WOELM RN, CHPN (PRESIDENT/ADMINISTRATOR)
(314) 892-4441
Entity
Organization
Contact information
Practice address
4150 CRESCENT DR, SAINT LOUIS, MO 63129-1005
(314) 892-4441
(314) 892-4478
Mailing address
4150 CRESCENT DR, SAINT LOUIS, MO 63129-1005
(314) 892-4441
(314) 892-4478
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826308801
—
MO
Enumeration date
05/24/2006
Last updated
04/02/2009
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