NPI 1043031032
Marty's Miraculous Private Care LLC
Practice location
- Address
- 3431 Bridgeland Dr STE K, Bridgeton, MO 63044-2648
- Phone
- (314) 906-1020
Authorised official
- Name
- Mona N Banks
- Title
- Owner
- Phone
- (314) 906-1020
Registered specialties (3)
Personal Care Attendant
Primary
Chore Provider
Respite Care
Registry record
- NPI
- 1043031032
- Entity type
- Organization
- NPI issued
- 22 Oct 2024
- Record last updated
- 22 Oct 2024
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.