Organization
TENDER CARING TEENS LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA MICHELLE DAVIS (OWNER)
(314) 280-9063
Entity
Organization
Contact information
Practice address
4405 JUNE AVE, SAINT LOUIS, MO 63121-3232
(314) 280-9063
Mailing address
4405 JUNE AVE, SAINT LOUIS, MO 63121-3232
(314) 280-9063
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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