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NPI Code Detail

MEDICARE: WALKER AND WATSON QUALITY HOME HEALTHCARE LLC

MEDICARE: WALKER AND WATSON QUALITY HOME HEALTHCARE 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1992324347
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALKER AND WATSON QUALITY HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 6700 CREST AVE
Second Line :
City : UNIVERSITY CITY
State : MO
Zip : 63130-2506
Country : US
Telephone Number : 314-498-1774
Fax Number : 314-339-5771
Provider Business Practice Location Address
First Line : 536 N TAYLOR AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1888
Country : US
Telephone Number : 314-498-1774
Fax Number : 314-339-5771
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MS. ANGELA WATSON
Credential :
Telephone Number : 314-498-1774
Provider Enumeration Date : 04/15/2020
Last Update Date : 04/15/2020

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