NPI 1043763154

Carlissa Harvey

Practitioner Home Health Agency Saint Louis, MO

Practice location

Address: 3310 Meramec St, Saint Louis, MO 63118-4311
Phone: (314) 749-0152
Fax: (844) 316-0208

Registered specialties (3)

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence LC9814754 (MO)

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1043763154
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2016
Record last updated: 8 Jun 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.