Makeover For Life Outreach

LBN: Makeover For Life Outreach
Makeover For Life Outreach is an health care organization with primary practice located at 4730 Margaretta Ave Fl 2 , Saint Louis MO 63115-2151. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Makeover For Life Outreach can be contacted via phone (314) 382-6090, or through Moore, Brenda Rochelle via phone (314) 382-6090.

Contact Information

Primary practice address
4730 Margaretta Ave Fl 2 Saint Louis MO 63115-2151
Phone: (314) 382-6090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Brenda Rochelle CASAC2,CCJP,SATOP,CC
Phone: (314) 382-6090

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X #2955 & #3100 Missouri

Profile Details

NPI number 1770886897
LBN Legal business name Makeover For Life Outreach
DBA Doing business as
Authorized official Moore, Brenda Rochelle CASAC2,CCJP,SATOP,CC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2010
Last updated Dec 10th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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