MEDICARE: AFTERWARDS WE CARE

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	251S00000X	Community/Behavioral Health Agency	2005028641	MO

General Provider Information

NPI Number	:	1598074601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTERWARDS WE CARE

Provider Business Mailing Address
First Line	:	110 LINDALE AVE
Second Line	:
City	:	WATERLOO
State	:	IA
Zip	:	50703-5516
Country	:	US
Telephone Number	:	314-256-9575
Fax Number	:	314-255-2283

Provider Business Practice Location Address
First Line	:	4046 HUMPHREY ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-3823
Country	:	US
Telephone Number	:	314-256-9575
Fax Number	:	314-255-2283

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOE FREDRICK ROBINSON
Credential	:
Telephone Number	:	314-256-9575

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	10/07/2010

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Directions to “AFTERWARDS WE CARE ” Practice Location

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