Organization
WELLCARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ANN JOHNSON (CEO)
(314) 387-1978
Entity
Organization
Contact information
Practice address
13930 INVICTA DR, FLORISSANT, MO 63034-2534
(314) 387-1978
Mailing address
13930 INVICTA DR, FLORISSANT, MO 63034-2534
(314) 387-1978
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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