Organization
WISE CHOICE INHOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE BAILEY (ADMINISTRATOR)
(314) 646-9997
Entity
Organization
Contact information
Practice address
9953 LEWIS AND CLARK BLVD STE 203, SAINT LOUIS, MO 63136-5307
(314) 868-9900
(314) 868-9902
Mailing address
9953 LEWIS AND CLARK BLVD STE 203, SAINT LOUIS, MO 63136-5307
(314) 868-9900
(314) 868-9902
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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