Organization
FAVORCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOYA WILSON (EXECUTIVE DIRECTOR)
(314) 445-5076
Entity
Organization
Contact information
Practice address
11683 ALTOZANO LN, FLORISSANT, MO 63033-8105
(314) 445-5076
Mailing address
11683 ALTOZANO LN, FLORISSANT, MO 63033-8105
(314) 445-5076
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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