Healthcare Provider Details

I. General information

NPI: 1295880250
Provider Name (Legal Business Name): HILLS-STOKES IN HOME SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 CAMBRIA DR
SAINT LOUIS MO
63136-5302
US

IV. Provider business mailing address

9700 CAMBRIA DR
SAINT LOUIS MO
63136-5302
US

V. Phone/Fax

Practice location:
  • Phone: 314-868-3377
  • Fax: 314-388-1014
Mailing address:
  • Phone: 314-868-3377
  • Fax: 314-388-1014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number17507219
License Number StateMO

VIII. Authorized Official

Name: MRS. PATRICIA STOKES
Title or Position: PARTNER
Credential:
Phone: 314-868-3377