Organization
ABC HEALTHCARE PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUELA KOYFMAN (OWNER)
(314) 591-2214
Entity
Organization
Contact information
Practice address
1173 N PRICE RD, SAINT LOUIS, MO 63132-2301
(314) 569-1899
(314) 569-9026
Mailing address
1173 N PRICE RD, SAINT LOUIS, MO 63132-2301
(314) 569-1899
(314) 569-9026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
372500000X
Chore Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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