MEDICARE: A BLESSING IN TIME

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

General Provider Information

NPI Number	:	1548890197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BLESSING IN TIME

Provider Business Mailing Address
First Line	:	100 CAMERON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-4209
Country	:	US
Telephone Number	:	314-201-2151
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CAMERON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-4209
Country	:	US
Telephone Number	:	314-201-2151
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMIKA TAMELL GRIFFIN
Credential	:
Telephone Number	:	314-201-2151

Provider Enumeration Date	:	01/23/2020
Last Update Date	:	01/23/2020

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Directions to “A BLESSING IN TIME ” Practice Location

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