PROVIDENT IN HOME SERVICES, LLC

SAINT LOUIS, MO
NPI1326644808
Entity TypeOrganization
Authorized ContactAIGNER SMITH
Director
314-736-1919
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
Additional Taxonomies302R00000X Health Maintenance Organization
Enumeration Date2020-12-09
Last Update Date2023-10-04
Business Address
PROVIDENT IN HOME SERVICES, LLC
1515 N WARSON RD STE 241
SAINT LOUIS, MO 63132-1109
Phone number: 314-736-1919
Mailing Address
PROVIDENT IN HOME SERVICES, LLC
1 S FLORISSANT RD
FERGUSON, MO 63135-2333
Phone number: 314-736-1919