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NPI Code Detail

MEDICARE: RJM NURSING SERIVICES LLC

MEDICARE: RJM NURSING SERIVICES LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1184941361
Entity Type Code : Organization
Provider Name (Legal Business Name) : RJM NURSING SERIVICES LLC
Provider Business Mailing Address
First Line : 10251 DACEY CT
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-3345
Country : US
Telephone Number : 314-753-5720
Fax Number :
Provider Business Practice Location Address
First Line : 10251 DACEY CT
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-3345
Country : US
Telephone Number : 314-753-5720
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. ANITRA L MATHIS
Credential :
Telephone Number : 314-868-8322
Provider Enumeration Date : 04/27/2010
Last Update Date : 04/27/2010

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Directions to “RJM NURSING SERIVICES LLC ” Practice Location

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