Healthcare Provider Details

I. General information

NPI: 1093201774
Provider Name (Legal Business Name): LAJOY ANDREWS-DABNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2018
Last Update Date: 07/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3156 PERSHALL RD STE 132
SAINT LOUIS MO
63136-4406
US

IV. Provider business mailing address

1631 MCLARAN AVE
SAINT LOUIS MO
63147-1333
US

V. Phone/Fax

Practice location:
  • Phone: 314-941-9911
  • Fax: 314-787-4529
Mailing address:
  • Phone: 314-941-9911
  • Fax: 314-787-4529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: