Independence Care of Missouri at St Louis, LLC
NPI #1225668395 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1225668395
- Entity Type
- Organization
- Organization Name
- Independence Care of Missouri at St Louis, LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jan 17, 2020
- Last Updated
- Jan 17, 2020
Practice Location
- Address
- 100 CHESTERFIELD BUSINESS PKWY FL 2
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63005-1271
- Phone
- (917) 733-1135
Authorized Official
- Name
- ALLISON VIAR
- Title
- OWNER
- Phone
- (917) 733-1135
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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