Healthcare Provider Details

I. General information

NPI: 1871768366
Provider Name (Legal Business Name): MSC HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 06/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3329 CAVAN DR
SAINT ANN MO
63074-3419
US

IV. Provider business mailing address

3329 CAVAN DR
SAINT ANN MO
63074-3419
US

V. Phone/Fax

Practice location:
  • Phone: 314-495-8229
  • Fax: 267-381-4241
Mailing address:
  • Phone: 314-495-8229
  • Fax: 267-381-4241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MYRA J CHILLERS
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 314-495-8229