OrganizationActive
Adult Visionary In-Home Care, Inc.
NPI 1477865624 · In Home Supportive Care Agency · Hazelwood, MO
Provider details
- NPI number
- 1477865624
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anita Wilder, Certified Operations Manager(314) 570-9051
Specialties & taxonomies
Agencies
Practice location
7220 N Lindbergh Blvd
Suite 230
Hazelwood, MO 63042-2019
Phone: (314) 656-1411
Fax: (314) 656-1540
Approximate (ZIP-level) locationGet directions
Mailing address
7220 N Lindbergh Blvd
Hazelwood, MO 63042-2019
Registry dates
- Enumerated
- 2010-07-04
- Last updated
- 2010-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.