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Organization
BRADLEY IN HOME SERVICE, LLC
Active
Organization
BRADLEY IN HOME SERVICE, LLC
Active
Other names
BRADLEY INHOME SERVICE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAIRIO RENWICK BRADLEY (OWNER)
(314) 833-3050
Entity
Organization
Contact information
Practice address
141 N MERAMEC AVE STE 300, CLAYTON, MO 63105-3750
(314) 791-0109
(314) 833-3058
Mailing address
141 N MERAMEC AVE STE 300, CLAYTON, MO 63105-3750
(314) 791-0109
(314) 833-3058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
08/19/2014
Last updated
03/26/2024
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