NPI 1659580157

One Source Health Care

Organisation Contractor Saint Louis, MO

Practice location

Address: 3430 Evergreen Ln APT E, Saint Louis, MO 63125-4804
Phone: (314) 304-3591

Authorised official

Name: Maurice Ayidiya
Title: Owner
Phone: (314) 304-3591

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 1 (MO)

Other Contractor providers in Missouri →

Registry record

NPI: 1659580157
Entity type: Organization
NPI issued: 21 May 2007
Record last updated: 22 Aug 2020

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.