Organization
BI-LINGUAL IN-HOME ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA MIRETSKY (OFFICE MANAGER)
(314) 692-8110
Entity
Organization
Contact information
Practice address
8390 DELMAR BLVD, SUITE 1002, ST LOUIS, MO 63124
(314) 692-8110
(314) 692-8111
Mailing address
8390 DELMAR BLVD, SUITE 1002, ST LOUIS, MO 63124
(314) 692-8110
(314) 692-8111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20000149485
LCSW
MO
05
—
268806700
—
MO
05
—
288806706
—
MO
Enumeration date
09/21/2006
Last updated
11/18/2011
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