Organization
CARETENDERS VISITING SERVICES OF ST. LOUIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
17013 NEW COLLEGE AVE STE 101, WILDWOOD, MO 63040-1104
(314) 991-2377
(314) 991-1055
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58191702
—
MO
Enumeration date
11/06/2006
Last updated
01/14/2022
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