# TRUSTED ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770886533
- **Authorized official:** MR. DERRICK D MUNNS (PARTNER)
- **Authorized official phone:** (314) 692-9130

## Contact information

- **Practice address:** 12045 VIVACITE DR, SAINT LOUIS, MO 63146-5219
- **Practice address phone:** (314) 692-9130
- **Practice address fax:** (314) 692-9143
- **Mailing address:** 12045 VIVACITE DR, SAINT LOUIS, MO 63146-5219
- **Mailing address phone:** (314) 692-9130
- **Mailing address fax:** (314) 692-9143

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010