SearchMissouriIn Home Supportive Care Agency

Keneishia Elijah

NPI 1144649591 · on the registry since 2014 · sole proprietor

Practice

Address
16720 Stone Creek Ct
Florissant, MO 63034
Phone
(314) 736-4275
Fax
(314) 260-6781

Registry record

Primary taxonomy
In Home Supportive Care Agency
253Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri