Organization
AT HOME CARE ST. LOUIS CDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLITA VASSER (OWNER/DIRECTOR)
(314) 739-2100
Entity
Organization
Contact information
Practice address
3460 FALCON AVE, BRIDGETON, MO 63044-3126
(314) 739-2100
(314) 739-2101
Mailing address
3460 FALCON AVE, BRIDGETON, MO 63044-3126
(314) 739-2100
(314) 739-2101
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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