Organization
ELANTIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANECIA MOORE (MANAGER)
(314) 361-2889
Entity
Organization
Contact information
Practice address
625 N EUCLID AVE, SUITE 521, SAINT LOUIS, MO 63108-1690
(314) 361-2889
(314) 361-1889
Mailing address
625 N EUCLID AVE, SUITE 521, SAINT LOUIS, MO 63108-1690
(314) 361-2889
(314) 361-1889
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010197
—
MO
Enumeration date
04/14/2010
Last updated
05/25/2010
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