Elicia Middlebrook | Saint Louis, MO • PECOS Search

Elicia Middlebrook

Home Health

Agencies

2043 Mclaran Ave, Saint Louis, MO 63136-3768

PECOS Enrollment

Based on the most recent information from CMS, provider Elicia Middlebrook does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1710471347
Provider Type
Individual
Full Name
Middlebrook, Elicia
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/18/2018
Last Updated
6/18/2018

Contact Information

Practice Location

2043 Mclaran Ave, Saint Louis, MO 63136-3768

(314) 388-2703

Mailing Location

2043 Mclaran Ave, Saint Louis, MO 63136-3768

(314) 388-2703

Provider Taxonomies

Code	Description	License
Code 251E00000X Primary	Description Home Health Agencies	License Unlisted Issuer Missouri