Organization Name: | BJC HOME CARE SERVICES |
NPI Number: | 1891705547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARILEE A STOCKMANN (DIRECTOR-INTERIM LEADER) |
Mailing Address: | 1935 Belt Way Dr Saint Louis |
State: | MO US |
Postal Code: | 631145825 |
Phone Number: | 3149531615 |
Fax Number: | 3142730704 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 00010918 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |