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NPI Code Detail

MEDICARE: NURSING EXECUTIVES HOME CARE SERVICES, LLC

MEDICARE: NURSING EXECUTIVES HOME CARE SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyLC0831239MO

General Provider Information

NPI Number : 1689826448
Entity Type Code : Organization
Provider Name (Legal Business Name) : NURSING EXECUTIVES HOME CARE SERVICES, LLC
Provider Business Mailing Address
First Line : 11551 PHILMAR LN
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63138-1721
Country : US
Telephone Number : 314-395-7780
Fax Number : 314-395-4317
Provider Business Practice Location Address
First Line : 11551 PHILMAR LN
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63138-1721
Country : US
Telephone Number : 314-395-7780
Fax Number : 314-395-4317
Authorized Official
Title or Position : DIRECTOR/OWNER
Name : MS. ALICIA DANIELLE DILLON
Credential :
Telephone Number : 314-395-7780
Provider Enumeration Date : 10/10/2008
Last Update Date : 10/10/2008

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Directions to “NURSING EXECUTIVES HOME CARE SERVICES, LLC ” Practice Location

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