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Organization

SSM HOME CARE PRIVATE DUTY

Active
Parent organization
SSM HEALTH BUSINESSES
Organization subpart
Yes

Provider details

NPI number
Legal business name
SSM HEALTH BUSINESSES
Authorized official
MR. MIKE TOPOLSKI (VICE PRESIDENT)
(314) 989-2528
Entity
Organization

Contact information

Practice address
1912 S MAIN ST, MARYVILLE, MO 64468-2647
(660) 562-7905
(660) 562-7948
Mailing address
1912 S MAIN ST, MARYVILLE, MO 64468-2647
(660) 562-7905
(660) 562-7948

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
08/29/2007
Last updated
08/29/2007
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