Organization
ALL FAMILY MEDICAID SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILEY C SMITH (OWNER)
(314) 333-4204
Entity
Organization
Contact information
Practice address
9903 GRAVOIS RD, SAINT LOUIS, MO 63123-4207
(314) 333-4204
(314) 333-4189
Mailing address
9903 GRAVOIS RD, SAINT LOUIS, MO 63123-4207
(314) 333-4204
(314) 333-4189
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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