MEDICARE: LINDSEY'S STEPPING STONES 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
1	253Z00000X	In Home Supportive Care Agency	LC9740465	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356724223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSEY'S STEPPING STONES LLC

Provider Business Mailing Address
First Line	:	1409 WASHINGTON AVE STE 208
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-1936
Country	:	US
Telephone Number	:	314-780-5982
Fax Number	:	314-621-3226

Provider Business Practice Location Address
First Line	:	1409 WASHINGTON AVE STE 208
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-1936
Country	:	US
Telephone Number	:	314-780-5982
Fax Number	:	314-621-3226

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. DANNY BROWN
Credential	:
Telephone Number	:	314-780-5982

Provider Enumeration Date	:	07/09/2015
Last Update Date	:	07/09/2015

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