Provider Demographics
NPI:1063825180
Name:BEE KAY SENIOR SERVICE LLC
Entity Type:Organization
Organization Name:BEE KAY SENIOR SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-726-2001
Mailing Address - Street 1:606 N AND SOUTH RD STE 211
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63130-3900
Mailing Address - Country:US
Mailing Address - Phone:314-726-2001
Mailing Address - Fax:314-726-2070
Practice Address - Street 1:606 N AND SOUTH RD STE 211
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130-3900
Practice Address - Country:US
Practice Address - Phone:314-726-2001
Practice Address - Fax:314-726-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO253ZOOOOOXOtherTAXONOMY