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NPI Code Detail

MEDICARE: A DAUGHTERS LOVE

MEDICARE: A DAUGHTERS LOVE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1114448180
Entity Type Code : Organization
Provider Name (Legal Business Name) : A DAUGHTERS LOVE
Provider Business Mailing Address
First Line : 9757 LORNA LN
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-1906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3919 WASHINGTON BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-3507
Country : US
Telephone Number : 314-229-8416
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : TIAUNA DANIEL
Credential :
Telephone Number : 314-229-8416
Provider Enumeration Date : 06/29/2017
Last Update Date : 06/29/2017

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Directions to “A DAUGHTERS LOVE ” Practice Location

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