Provider Demographics
NPI:1871768366
Name:MSC HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:MSC HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHILLERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-495-8229
Mailing Address - Street 1:3329 CAVAN DR
Mailing Address - Street 2:
Mailing Address - City:SAINT ANN
Mailing Address - State:MO
Mailing Address - Zip Code:63074-3419
Mailing Address - Country:US
Mailing Address - Phone:314-495-8229
Mailing Address - Fax:267-381-4241
Practice Address - Street 1:3329 CAVAN DR
Practice Address - Street 2:
Practice Address - City:SAINT ANN
Practice Address - State:MO
Practice Address - Zip Code:63074-3419
Practice Address - Country:US
Practice Address - Phone:314-495-8229
Practice Address - Fax:267-381-4241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care