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General NPI Number Information
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NPI Number | 1760520787
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Entity Type | Organization
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Legal Business Name | R.A.S. INC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 211 W CHERRY ST
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City | TROY
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State | MO
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Zip | 63379-1293
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Country | US
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Telephone | 636-462-8383
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Fax | 636-462-5038
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Provider Business Mailing Address
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Address Line | 224 RED HAWK RIDGE DR
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City | TROY
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State | MO
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Zip | 63379-5447
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Country | US
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Telephone | 636-462-8383
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Fax | 636-462-5038
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACKIE L WALKER
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Credential | LPN
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Telephone | 636-462-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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