Organization
AGES IN STAGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAKITA L. PITTMAN-HAYNES (OWNER)
(314) 363-1765
Entity
Organization
Contact information
Practice address
415 CHEZ PAREE DR OFC G, HAZELWOOD, MO 63042-3599
(314) 363-1765
Mailing address
415 CHEZ PAREE DR OFC G, HAZELWOOD, MO 63042-3599
(314) 363-1765
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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