# VAUGHN TENANT ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bertha Gilkey Family Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124738372
- **Authorized official:** RUSSELL HOUSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 421-4071

## Contact information

- **Practice address:** 1920 CASS AVE, SAINT LOUIS, MO 63106-3251
- **Practice address phone:** (314) 486-0902
- **Mailing address:** 1920 CASS AVE, SAINT LOUIS, MO 63106-3251
- **Mailing address phone:** (314) 486-0902

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2022
- **Last updated:** 11/29/2022