Makeover for Life Outreach
Makeover for Life Outreach is an Exclusive Provider Organization in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2010.
- Licensed in
- MO
- In the registry since
- 2010
Practice location Address checks out
4730 Margaretta Ave Fl 2Saint Louis, MO 63115-2151
Phone: (314) 382-6090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence #2955 & #3100 (MO) |
|---|
Record details
| NPI number | 1770886897 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brenda Moore — Ceo · (314) 382-6090 |
| NPI enumerated | December 10, 2010 |
| Last updated in NPPES | December 10, 2010 |
| Mailing address | 4730 Margaretta Ave Fl 2, Saint Louis, MO 63115-2151 |
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