Individual provider · Type 1 NPI

Mandisa Fayola McCormick- Nelson, ASSISTIVE CARE PRO

Home Health Agency · St. Louis, MO

NPI number 1356945000 Active

Practice location

1534 Beecher Dr
St. Louis, MO 63136-2306

Call (131) 422-9122 Map

Other practice locations

3329 California Ave, St. Louis, MO 63118-3001 · (131) 422-9122

Specialties and licenses

Taxonomy	Code	License
Attendant Care Provider	3747A0650X	None listed
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1356945000

Mandisa Fayola McCormick- Nelson, ASSISTIVE CARE PRO's National Provider Identifier is 1356945000, issued on Nov 24, 2020. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 19, 2021.