Individual provider · NPI-1

Mihret Asfaw

Home Health Aide · Saint Louis, MO

NPI number1255877783
StatusActive
Last updated in NPPESJan 8, 2017

Details

NPI
1255877783
Entity type
Individual (NPI-1)
Name
Mihret Asfaw
Sex
Male
Sole proprietor
No
Enumeration date
Jan 8, 2017
Last updated
Jan 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes
372500000X Chore Provider––

Practice location

1409 Washington Ave Ste 223
Saint Louis, MO 63103-1936

Phone 314-366-5635

Mailing address

1409 Washington Ave Ste 223
Saint Louis, MO 63103-1936

Phone 314-366-5635

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