Provider Demographics
NPI:1356687826
Name:WESTPLEX HOME CARE
Entity type:Organization
Organization Name:WESTPLEX HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MULVIHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-695-4422
Mailing Address - Street 1:202 TRIAD CTR W
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-7543
Mailing Address - Country:US
Mailing Address - Phone:636-695-4422
Mailing Address - Fax:636-487-0242
Practice Address - Street 1:202 TRIAD CTR W
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-7543
Practice Address - Country:US
Practice Address - Phone:636-695-4422
Practice Address - Fax:636-487-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care