# BOUNTIFUL BENEVOLENCE AT HOME WE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184497968
- **Authorized official:** MS. TYREN COTTON CPC (OWNER/MANAGER)
- **Authorized official phone:** (636) 395-2361

## Contact information

- **Practice address:** 1000 MID RIVERS MALL DR STE B2, SAINT PETERS, MO 63376-2171
- **Practice address phone:** (636) 395-2361
- **Mailing address:** 500 ARBOR LANE DR, SAINT PETERS, MO 63376-7682
- **Mailing address phone:** (636) 395-2361

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 11/02/2023