Provider Demographics
NPI:1689169864
Name:INFINITY HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:INFINITY HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAMARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-825-8171
Mailing Address - Street 1:12405 OLD HALLS FERRY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BLACK JACK
Mailing Address - State:MO
Mailing Address - Zip Code:63033-4261
Mailing Address - Country:US
Mailing Address - Phone:314-825-8171
Mailing Address - Fax:
Practice Address - Street 1:12405 OLD HALLS FERRY RD STE 105
Practice Address - Street 2:
Practice Address - City:BLACK JACK
Practice Address - State:MO
Practice Address - Zip Code:63033-4261
Practice Address - Country:US
Practice Address - Phone:314-825-8171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health