NPI 1639427214

Agile In-Home Care, L.L.C.

Organisation Exclusive Provider Organization Hazelwood, MO

Practice location

Address: 320 Brookes Drive Suite 207, Hazelwood, MO 63042
Phone: (314) 443-7565
Fax: (314) 298-3886
Mailing address: 2804 Rose Acres Lane, Maryland Heights, MO 63043-1180

Authorised official

Name: Brooke B Lewis
Title: Director
Phone: (816) 805-3974

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence LC1153679 (MO)

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1639427214
Entity type: Organization
NPI issued: 29 Aug 2012
Record last updated: 29 Aug 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.