Organization
SOC 4 HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAESHIA MARIA HAMPTON (DIRECTOR)
(314) 477-8125
Entity
Organization
Contact information
Practice address
1360 S 5TH ST STE 386, SAINT CHARLES, MO 63301-2447
(314) 477-8125
Mailing address
1360 S 5TH ST STE 386, SAINT CHARLES, MO 63301-2447
(314) 477-8125
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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