Organization
ANOINTED SEASONED ADULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET I STRICKLAND (DIRECTOR)
(314) 524-9004
Entity
Organization
Contact information
Practice address
8368 LATTY AVE, HAZELWOOD, MO 63042-3236
(314) 524-9004
(314) 524-4271
Mailing address
15666 DEBRIDGE WAY, FLORISSANT, MO 63034-3481
(314) 524-9004
(314) 524-4271
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1091
MO
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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