Organization
LILAC HEALTHCARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA DAHLEY MENSAH (DIRECTOR)
(314) 933-6556
Entity
Organization
Contact information
Practice address
1451 MULLANPHY ST, SAINT LOUIS, MO 63106-3114
(314) 933-6556
Mailing address
1451 MULLANPHY ST, SAINT LOUIS, MO 63106-3114
(314) 933-6556
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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