Organization
DELMAR GARDENS PRIVATE SERVICES, LLC
Active
Other names
Delmar Gardens Private Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN MICHAEL BACKOWSKI (DIRECTOR)
(636) 733-7330
Entity
Organization
Contact information
Practice address
14805 N OUTER 40 RD STE 320A, CHESTERFIELD, MO 63017-6021
(636) 733-7100
(636) 733-7101
Mailing address
14805 N OUTER 40 RD STE 320A, CHESTERFIELD, MO 63017-6021
(636) 733-7100
(636) 733-7101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260563713
—
MO
05
—
280563701
—
MO
Enumeration date
09/16/2005
Last updated
01/09/2025
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