Organization
DOVER HOSPICE IL STL METRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY PRATT RN, MSN (VICE PRESIDENT)
(573) 760-3730
Entity
Organization
Contact information
Practice address
2 GINGER CRK, GLEN CARBON, IL 62034-3413
(573) 760-3730
Mailing address
300 HUNTER AVE STE 200, SAINT LOUIS, MO 63124-2328
(314) 884-8817
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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