Organization
CORICAGROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA LAVONNE REED (EXECUTIVE DIRECTOR)
(314) 499-8887
Entity
Organization
Contact information
Practice address
4373 BRISTOL VIEW CT, SAINT LOUIS, MO 63129-6724
(314) 499-8887
(314) 667-5613
Mailing address
4373 BRISTOL VIEW CT, SAINT LOUIS, MO 63129-6724
(314) 499-8887
(314) 667-5613
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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