Aging Well Health Care, LLC
Home Health in Saint Louis, MO. Organization (NPI-2).
NPI number1215936588
StatusActive
Last updated in NPPESSep 20, 2010
Details
- NPI
- 1215936588
- Entity type
- Organization (NPI-2)
- Legal business name
- Aging Well Health Care, LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Sep 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 755 | MO | Yes |
| 261QA0600X | Clinic/Center, Adult Day Care | 609 | MO | |
| 261QP2000X | Clinic/Center, Physical Therapy | 266633 | MO | |
| 251E00000X | Home Health | 1010588 | IL | |
| 251J00000X | Nursing Care | 265855403 | MO | |
| 385H00000X | Respite Care | 285855409 | MO | |
| 261QX0100X | Clinic/Center, Occupational Medicine | 266633 | MO |
Practice location
7212 Balson AveSaint Louis, MO 63130-3001
Phone 314-726-5600 · Fax 314-754-9317
Mailing address
7212 Balson AveSaint Louis, MO 63130-3001
Phone 314-726-5600 · Fax 314-754-9317
Authorized official
Irina Bursak
Administrator
3147265600
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