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Organization
CHANGE OF TIME HOME HEALTH LLC
Active
Organization
CHANGE OF TIME HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA SHIELDS (CEO)
(314) 757-5661
Entity
Organization
Contact information
Practice address
2176A N WATERFORD DR, FLORISSANT, MO 63033-2301
(314) 757-5661
Mailing address
2176A N WATERFORD DR, FLORISSANT, MO 63033-2301
(314) 757-5661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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