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Organization

AVI MARIE VITALITY HOME CARE LLC

Active
Other names
NA
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY TAREKA MOORE (OWNER)
(770) 596-8919
Entity
Organization

Contact information

Practice address
7777 BONHOMME AVE STE 1827, SAINT LOUIS, MO 63105-1911
(314) 764-5020
(636) 237-8304
Mailing address
7777 BONHOMME STE #1827, 8321 MCLARAN AVE, ST LOUIS, MO 63136-1129
(314) 764-5020
(636) 237-8304

Taxonomy

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

Other

Enumeration date
11/05/2020
Last updated
07/23/2024
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