NPI 1427224658

Eldercare Professional in Home Healthcare

Organisation Exclusive Provider Organization Saint Louis, MO

Practice location

Address: 3642 Botanical Ave, Saint Louis, MO 63110-4002
Phone: (314) 664-8616

Authorised official

Name: Alfred Blakemore
Title: President
Phone: (314) 664-8616

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1427224658
Entity type: Organization
NPI issued: 7 May 2008
Record last updated: 7 May 2008

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.