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NPI 1568929032

IndividualActive

Connie Mack

NPI 1568929032 · Home Health Aide · Saint Louis, MO

Provider details

NPI number: 1568929032
Entity type: Individual
Primary specialty: Home Health AideNursing Service Related Providers
Sex: Female
Sole proprietor: Yes

Practice location

3531 N Taylor Ave

Saint Louis, MO 63115-2614

Phone: (314) 398-9070

More MO providers

Mailing address

3531 N Taylor Ave

Saint Louis, MO 63115-2614

Registry dates

Enumerated: 2019-02-21
Last updated: 2019-02-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Connie Mack — NPI 1568929032, Saint Louis, MO | NPI Central