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NPI Code Detail

MEDICARE: INFINITE CREATIONS FOUNDATION INC

MEDICARE: INFINITE CREATIONS FOUNDATION 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1962368472
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINITE CREATIONS FOUNDATION INC
Provider Business Mailing Address
First Line : 4623 HATZ ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63121-3018
Country : US
Telephone Number : 314-285-4490
Fax Number :
Provider Business Practice Location Address
First Line : 4623 HATZ ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63121-3018
Country : US
Telephone Number : 314-285-4490
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. CHRISTOPHER BRYANT
Credential :
Telephone Number : 314-285-4490
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “INFINITE CREATIONS FOUNDATION INC ” Practice Location

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