Organization
ABIDING FAITH HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA MCCARTHY (R.N. ADMINISTRATOR)
(314) 954-2437
Entity
Organization
Contact information
Practice address
9010 HALLS FERRY RD, SAINT LOUIS, MO 63147-1701
(314) 954-2437
(314) 388-0804
Mailing address
9010 HALLS FERRY RD, SAINT LOUIS, MO 63147-1701
(314) 954-2437
(314) 388-0804
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
163WC0400X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346873
EIN
—
Enumeration date
12/20/2012
Last updated
12/20/2012
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