Beautiful Angels Consumer Directed Services
Home Health in Ferguson, MO. Organization (NPI-2).
NPI number1821437765
StatusActive
Last updated in NPPESJun 24, 2013
Details
- NPI
- 1821437765
- Entity type
- Organization (NPI-2)
- Legal business name
- Beautiful Angels Consumer Directed Services
- Organization subpart
- No
- Enumeration date
- Jun 24, 2013
- Last updated
- Jun 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | MO | Yes |
Practice location
119 Church StSuite # 226
Ferguson, MO 63135-2442
Phone 314-736-1563 · Fax 314-736-1564
Mailing address
119 Church StSuite # 226
Ferguson, MO 63135-2442
Phone 314-736-1563 · Fax 314-736-1564
Authorized official
Marquita Hearn
Owner
3147361563
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