Healthcare Provider Details

I. General information

NPI: 1346659836
Provider Name (Legal Business Name): OUR HANDS THAT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 08/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N EUCLID AVE SUITE 308
SAINT LOUIS MO
63108-1690
US

IV. Provider business mailing address

625 N EUCLID AVE STE 308
SAINT LOUIS MO
63108-1660
US

V. Phone/Fax

Practice location:
  • Phone: 314-361-2178
  • Fax: 314-361-2178
Mailing address:
  • Phone: 314-361-2178
  • Fax: 314-361-2178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberLC9745994
License Number StateMO

VIII. Authorized Official

Name: MS. JOYCE NICOLE DAVIS
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 314-361-2178