IndividualActive
Alvia Carroll
NPI 1477093631 · Home Health Aide · Black Jack, MO
Provider details
- NPI number
- 1477093631
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 16073 (MO)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
12632 Broadridge Ln
Black Jack, MO 63033-4604
Phone: (314) 540-5238
Approximate (ZIP-level) locationGet directions
Mailing address
12632 Broadridge Ln
Black Jack, MO 63033-4604
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2017-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.