Organization
VISION HOME HEALTH EXTENDED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE TILLMAN (EXECUTIVE DIRECTOR)
(314) 520-5952
Entity
Organization
Contact information
Practice address
299 S FLORISSANT RD, FERGUSON, MO 63135-2735
(314) 520-5952
(314) 921-4902
Mailing address
849 N HIGHWAY 67 ST, FLORISSANT, MO 63031-2915
(314) 520-5952
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
07/31/2024
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