# BRADLEY HOMECARE FOR VETERANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bradley Homecare For Veterans
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073363685
- **Authorized official:** MAIRIO R BRADLEY (OWNER)
- **Authorized official phone:** (314) 791-0109

## Contact information

- **Practice address:** 230 S BEMISTON AVE STE 890, CLAYTON, MO 63105-1921
- **Practice address phone:** (314) 833-3050
- **Practice address fax:** (314) 833-3058
- **Mailing address:** 71 BROOK HOLLOW CT, O FALLON, MO 63366-4168
- **Mailing address phone:** (314) 791-0109
- **Mailing address fax:** (314) 833-3058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2024
- **Last updated:** 03/26/2024