Healthcare Provider Details

I. General information

NPI: 1548645831
Provider Name (Legal Business Name): ENJOY LOVING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 S 5TH ST STE 377-B
SAINT CHARLES MO
63301-2449
US

IV. Provider business mailing address

1360 S 5TH ST STE 377-B
SAINT CHARLES MO
63301-2449
US

V. Phone/Fax

Practice location:
  • Phone: 314-226-8990
  • Fax:
Mailing address:
  • Phone: 314-226-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOY WRIGHT
Title or Position: DIRECTOR
Credential:
Phone: 314-226-8990