Organization
LESSIE BATES DAVIS NEIGHBORHOOD HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R KREEB (PRESIDENT/CEO)
(618) 875-2211
Entity
Organization
Contact information
Practice address
1200 N 13TH ST, EAST SAINT LOUIS, IL 62205-2975
(618) 874-0777
(618) 874-0511
Mailing address
1200 N 13TH ST, EAST SAINT LOUIS, IL 62205-2975
(618) 874-0777
(618) 874-0511
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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