Organization · NPI-2

Be Of Service, LLC

In Home Supportive Care · Saint Louis, MO

NPI number1730700360
StatusActive
Last updated in NPPESFeb 17, 2021

Details

NPI
1730700360
Entity type
Organization (NPI-2)
Legal business name
Be Of Service, LLC
Organization subpart
No
Enumeration date
May 5, 2020
Certification date
Feb 17, 2021
Last updated
Feb 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251E00000X Home Health––
372500000X Chore Provider––
376J00000X Homemaker––

Practice location

11150 Mammoth Dr
Saint Louis, MO 63136-5845

Phone 314-944-0461 · Fax 314-944-0461

Mailing address

11150 Mammoth Dr
Saint Louis, MO 63136-0913

Phone 314-944-0461 · Fax 314-944-0461

Other practice locations

11150 Mammoth Dr
Saint Louis, MO 63136-5845

Authorized official

Alfreda Bronner
Owner
3149440461

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