NPI 1013269737
Illinois Express Home Care
Practice location
- Address
- 4601 State St, East Saint Louis, IL 62205-1359
- Phone
- (314) 727-0453
- Mailing address
- 3641 Oakdale Ave, Saint Louis, MO 63121-5437
Authorised official
- Name
- Diane Shelton
- Title
- Administrator
- Phone
- (314) 727-0453
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1013269737
- Entity type
- Organization
- NPI issued
- 4 Oct 2012
- Record last updated
- 4 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.