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Organization
BUNDLES OF LOVE IN HOME SERVICES
Active
Organization
BUNDLES OF LOVE IN HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEQUILA DIONTA CLARK (OWNER)
(314) 696-8600
Entity
Organization
Contact information
Practice address
501 N TAYLOR AVE, SAINT LOUIS, MO 63108-1810
(314) 696-8600
(314) 696-8899
Mailing address
501 N TAYLOR AVE, SAINT LOUIS, MO 63108-1810
(314) 696-8600
(314) 696-8899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
LC9819745
MO
253Z00000X
In Home Supportive Care Agency
Primary
LC9819745
MO
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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