Organization Name: | ADULT VISIONARY IN-HOME SERVICES, INC. |
NPI Number: | 1194018697 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA LOUISE WILDER (CEO) |
Mailing Address: | 7220 N Lindbergh Blvd Suite 220 Hazelwood |
State: | MO US |
Postal Code: | 630422019 |
Phone Number: | 3146561411 |
Fax Number: | 3146561540 |
NPI Enumeration Date: | 05/17/2011 |
NPI Last Update Date: | 07/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |