Healthcare Provider Details

I. General information

NPI: 1326225962
Provider Name (Legal Business Name): PLAY ON WORDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 05/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 S BIG BEND BLVD
SAINT LOUIS MO
63117-2206
US

IV. Provider business mailing address

1524 S BIG BEND BLVD
SAINT LOUIS MO
63117-2206
US

V. Phone/Fax

Practice location:
  • Phone: 314-534-9695
  • Fax: 314-735-4224
Mailing address:
  • Phone: 314-534-9695
  • Fax: 314-735-4224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KELLY M HARRIS
Title or Position: DIRECTOR - THERAPY SERVICES
Credential: MA CCC-SLP
Phone: 314-534-9695