Healthcare Provider Details

I. General information

NPI: 1245331636
Provider Name (Legal Business Name): CARE GIVER SUPPLY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9666 OLIVE BLVD SUITE 690
OLIVETTE MO
63132-3013
US

IV. Provider business mailing address

9666 OLIVE BLVD SUITE 690
OLIVETTE MO
63132-3013
US

V. Phone/Fax

Practice location:
  • Phone: 314-426-7778
  • Fax: 314-426-7733
Mailing address:
  • Phone: 314-426-7778
  • Fax: 314-426-7733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY J BIERMAN
Title or Position: PRESIDENT
Credential:
Phone: 314-426-7778