Organization
AWESOME CARE IHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY DICKINSON (DIRECTOR)
(314) 686-0234
Entity
Organization
Contact information
Practice address
1360 S 5TH ST, SAINT CHARLES, MO 63301-2449
(636) 724-1661
(636) 724-1691
Mailing address
4325 DELMAR BLVD, ST LOUIS, MO 63108
(314) 686-0234
(636) 724-1691
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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