Ages In Stages LLC
In Home Supportive Care in Hazelwood, MO. Organization (NPI-2).
NPI number1871069229
StatusActive
Last updated in NPPESOct 23, 2018
Details
- NPI
- 1871069229
- Entity type
- Organization (NPI-2)
- Legal business name
- Ages In Stages LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2018
- Last updated
- Oct 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
415 Chez Paree Dr Ofc GHazelwood, MO 63042-3599
Phone 314-363-1765
Mailing address
415 Chez Paree Dr Ofc GHazelwood, MO 63042-3599
Phone 314-363-1765
Authorized official
Nakita L. Pittman-Haynes
Owner
3143631765
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All 39 In Home Supportive Care Agency providers in Hazelwood · All 615 providers in Hazelwood
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