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Organization

ALGONQUIN NURSES HOME HEALTH CARE I, LLC

Active
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Organization

ALGONQUIN NURSES HOME HEALTH CARE I, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN ANTHONY TAMBOLI (OWNER)
(314) 822-8158
Entity
Organization

Contact information

Practice address
10135 MANCHESTER RD, SUITE 102, ST LOUIS, MO 63122-1559
(314) 822-8158
(314) 822-0952
Mailing address
10135 MANCHESTER RD, SUITE 102, ST LOUIS, MO 63122-1559
(314) 822-8158
(314) 822-0952

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
MO
253Z00000X
In Home Supportive Care Agency
Primary
—
MO

Other

Enumeration date
11/01/2016
Last updated
12/27/2024
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