Healthcare Provider Details

I. General information

NPI: 1790785350
Provider Name (Legal Business Name): SOLE CONTROL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9120 WATSON ROAD SUITE 200
CRESTWOOD MO
63126-2238
US

IV. Provider business mailing address

9120 WATSON ROAD SUITE 200
CRESTWOOD MO
63126-2238
US

V. Phone/Fax

Practice location:
  • Phone: 636-536-9800
  • Fax: 636-536-9866
Mailing address:
  • Phone: 636-536-9800
  • Fax: 636-536-9866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMO

VIII. Authorized Official

Name: MARY ELAINE HOLLORAN
Title or Position: OWNER
Credential: C. PED
Phone: 636-536-9800