Healthcare Provider Details
I. General information
NPI: 1104019900
Provider Name (Legal Business Name): BEFIT HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2007
Last Update Date: 08/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17 LAKE FOREST CIR
LAKE ST LOUIS MO
63367-1348
US
IV. Provider business mailing address
17 LAKE FOREST CIR
LAKE ST LOUIS MO
63367-1348
US
V. Phone/Fax
- Phone: 636-561-6070
- Fax: 636-625-6070
- Phone: 636-561-6070
- Fax: 636-625-6070
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DONNETTE
L.
GATSCHENBERGER
Title or Position: OWNER
Credential: RN, MBA
Phone: 636-561-6070