MEDICARE: ALWAYS LOVE AND CARE INC

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		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	:	1730472150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALWAYS LOVE AND CARE INC

Provider Business Mailing Address
First Line	:	9191 W FLORISSANT AVE STE 201
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-1424
Country	:	US
Telephone Number	:	314-524-0118
Fax Number	:	314-522-0929

Provider Business Practice Location Address
First Line	:	9191 W FLORISSANT AVE STE 201
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-1424
Country	:	US
Telephone Number	:	314-524-0118
Fax Number	:	314-522-0929

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. LISA ANN DAVIS
Credential	:	RN, BSN
Telephone Number	:	314-524-0118

Provider Enumeration Date	:	05/18/2011
Last Update Date	:	05/18/2011

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Directions to “ALWAYS LOVE AND CARE INC ” Practice Location

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