# SSM HOME CARE PRIVATE DUTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTH BUSINESSES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306974233
- **Legal business name:** SSM HEALTH BUSINESSES
- **Authorized official:** MR. MIKE TOPOLSKI (VICE PRESIDENT)
- **Authorized official phone:** (314) 989-2528

## Contact information

- **Practice address:** 4385 MARYLAND AVE, SAINT LOUIS, MO 63108-2703
- **Practice address phone:** (314) 533-4107
- **Practice address fax:** (314) 533-0058
- **Mailing address:** 10143 PAGET DR, SAINT LOUIS, MO 63132-2915
- **Mailing address phone:** (314) 989-2524
- **Mailing address fax:** (314) 989-3901

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 07/11/2007