Healthcare Provider Details

I. General information

NPI: 1326383696
Provider Name (Legal Business Name): EACH BREATH COUNTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 MICHIGAN AVE
SAINT LOUIS MO
63104-1709
US

IV. Provider business mailing address

2331 MICHIGAN AVE
SAINT LOUIS MO
63104-1709
US

V. Phone/Fax

Practice location:
  • Phone: 314-489-5971
  • Fax:
Mailing address:
  • Phone: 314-489-5971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DEMETRICES JAMAR CARTER JR.
Title or Position: OWNER
Credential: RRT
Phone: 314-489-5971