Organization
VAUGHN TENANT ASSOCIATION
Active
Other names
Bertha Gilkey Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HOUSTON (EXECUTIVE DIRECTOR)
(314) 421-4071
Entity
Organization
Contact information
Practice address
1920 CASS AVE, SAINT LOUIS, MO 63106-3251
(314) 486-0902
Mailing address
1920 CASS AVE, SAINT LOUIS, MO 63106-3251
(314) 486-0902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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