Emanuel House Autism Is Me
In Home Supportive Care in Ferguson, MO. Organization (NPI-2).
NPI number1497391403
StatusActive
Last updated in NPPESNov 25, 2019
Details
- NPI
- 1497391403
- Entity type
- Organization (NPI-2)
- Legal business name
- Emanuel House Autism Is Me
- Organization subpart
- No
- Enumeration date
- Nov 25, 2019
- Last updated
- Nov 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
930 Smithshire AveFerguson, MO 63135-1767
Phone 314-348-2638
Mailing address
930 Smithshire AveSaint Louis, MO 63135-1767
Phone 314-348-2638
Authorized official
Jemicia Lynn Sipes
Ceo
3143482638
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