Healthcare Provider Details

I. General information

NPI: 1356860159
Provider Name (Legal Business Name): A PLUS HEALTH AND WELLNESS CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 09/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 WHITTIER ST
SAINT LOUIS MO
63113-2950
US

IV. Provider business mailing address

3312 BROWN RD
SAINT LOUIS MO
63114-4328
US

V. Phone/Fax

Practice location:
  • Phone: 314-495-6412
  • Fax: 314-567-1940
Mailing address:
  • Phone: 314-495-6412
  • Fax: 314-567-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLES L HILTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 314-495-6412