Organization
MEDI-PLEX HOSPICE, LLC
Active
Other names
Medi-plex Health care Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA FAYE WHITE RN (CEO/ADMINISTRATOR)
(314) 991-8808
Entity
Organization
Contact information
Practice address
1470 S VANDEVENTER AVE, SAINT LOUIS, MO 63110-2336
(314) 991-8808
(314) 991-9099
Mailing address
1470 S VANDEVENTER AVE, SAINT LOUIS, MO 63110-2336
(314) 991-8808
(314) 991-9099
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
164-HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826322406
—
MO
Enumeration date
05/10/2006
Last updated
05/15/2019
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