NPI 1366216897
Mrs Octavia Home Health Care LLC
Practice location
- Address
- 1516 Goodfellow Blvd Unit-A 1516 Goodfellow Blvd Apt-A, Saint Louis, MO 63112
- Phone
- (314) 226-4500
- Mailing address
- 1516 Goodfellow Blvd Unit-A 1516 Goodfellow Blvd Unit-A, Saint Louis, MO 63112
Authorised official
- Name
- Debra Edwards
- Title
- Owner
- Phone
- (314) 226-4500
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1366216897
- Entity type
- Organization
- NPI issued
- 15 Nov 2023
- Record last updated
- 23 Nov 2023
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.