Southside Wellness Center Inc in Saint Louis - Personal Care Attendant

Southside Wellness Center Inc - NPI 1649453796

Southside Wellness Center Inc is a Personal Care Attendant in Saint Louis, Missouri. Southside Wellness Center Inc practices all healthcare services and medical treatments related to Personal Care Attendant. The NPI Number for Southside Wellness Center Inc is 1649453796. The last update date is 2008-05-16.

Southside Wellness Center Inc's current location address is 3017 Park Ave, Saint Louis, Missouri. You can contact this provider via phone number 3146645024. The mailing address for Southside Wellness Center Inc is 3017 Park Ave, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southside Wellness Center Inc
Address 3017 Park Ave, Saint Louis, Missouri
Phone Number 3146645024
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASSISTANT
Authorized Official Name Parram Mary
Telephone Number 3146645024

NPI Number Detail

NPI Number 1649453796
Provider Enumeration Date 2007-12-12
Last Updated Date 2008-05-16

Provider Mailing Address Detail

Address 3017 Park Ave
City Saint Louis
State Missouri (MO)
Post Code 631041433
Phone Number 3146645024
Fax Number

Provider's Primary Taxonomy Detail

Speciality Personal Care Attendant
Taxonomy 3747P1801X
Licence No 261705602
Definition:
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
466 MO PROVIDER NUMBER
291705606 MO --
261705602 MO --
281705608 MO --
851705608 MO --

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FAQs about Southside Wellness Center Inc

What is the unique identifier code issued to Southside Wellness Center Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Southside Wellness Center Inc has been assigned the NPI (National Provider Identifier) 1649453796. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Southside Wellness Center Inc is located?

The Southside Wellness Center Inc is situated at the following address: 3017 Park Ave, Saint Louis, MO, 631041433.

What is Southside Wellness Center Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Southside Wellness Center Inc is Personal Care Attendant, and the taxonomy code that classifies this field of practice is 3747P1801X.

When did the Southside Wellness Center Inc receive its 1649453796?

The Southside Wellness Center Inc was issued its 1649453796 on 2007-12-12, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Southside Wellness Center Inc most recently updated or revised?

The information pertaining to Southside Wellness Center Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-16.

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