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Organization

T&L PERSONAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LA'SHAY DOUGLAS (OWNER)
(314) 478-7982
Entity
Organization

Contact information

Practice address
409 S FLORISSANT RD STE 102, SAINT LOUIS, MO 63135-2894
(314) 478-7982
Mailing address
1490 PADDOCK DR, FLORISSANT, MO 63033-2263

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
10/28/2021
Last updated
11/09/2021
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