# 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:** 1326232752
- **Legal business name:** SSM HEALTH BUSINESSES
- **Authorized official:** MR. MIKE TOPOLSKI (VICE PRESIDENT)
- **Authorized official phone:** (314) 989-2528

## Contact information

- **Practice address:** 1912 S MAIN ST, MARYVILLE, MO 64468-2647
- **Practice address phone:** (660) 562-7905
- **Practice address fax:** (660) 562-7948
- **Mailing address:** 1912 S MAIN ST, MARYVILLE, MO 64468-2647
- **Mailing address phone:** (660) 562-7905
- **Mailing address fax:** (660) 562-7948

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 08/29/2007