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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 372500000X | Chore Provider | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
11150 Mammoth DrSaint Louis, MO 63136-5845
Phone 314-944-0461 · Fax 314-944-0461
Mailing address
11150 Mammoth DrSaint Louis, MO 63136-0913
Phone 314-944-0461 · Fax 314-944-0461
Other practice locations
11150 Mammoth Dr
Saint Louis, MO 63136-5845
Saint Louis, MO 63136-5845
Authorized official
Alfreda Bronner
Owner
3149440461
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