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NPI Code Detail

MEDICARE: ANGEL AID LLC

MEDICARE: ANGEL AID 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
1253Z00000XIn Home Supportive Care AgencyLC0944164MO

General Provider Information

NPI Number : 1881835072
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGEL AID LLC
Provider Business Mailing Address
First Line : 3509 OXFORD BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63143-4208
Country : US
Telephone Number : 314-414-9000
Fax Number : 314-414-9000
Provider Business Practice Location Address
First Line : 3509 OXFORD BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63143-4208
Country : US
Telephone Number : 314-414-9000
Fax Number : 314-414-9000
Authorized Official
Title or Position : MANAGER/REGISTERED NURSE
Name : MS. KATHLEEN A COPPLE
Credential : R.N.
Telephone Number : 314-374-0116
Provider Enumeration Date : 03/17/2009
Last Update Date : 03/17/2009

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Directions to “ANGEL AID LLC ” Practice Location

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