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Organization
AVI MARIE VITALITY HOME CARE LLC
Active
Organization
AVI MARIE VITALITY HOME CARE LLC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY TAREKA MOORE (OWNER)
(770) 596-8919
Entity
Organization
Contact information
Practice address
7777 BONHOMME AVE STE 1827, SAINT LOUIS, MO 63105-1911
(314) 764-5020
(636) 237-8304
Mailing address
7777 BONHOMME STE #1827, 8321 MCLARAN AVE, ST LOUIS, MO 63136-1129
(314) 764-5020
(636) 237-8304
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
07/23/2024
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