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Organization

YOUR TENDER LOVING CARE II LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELYNE BODLEY (OWNER/DIRECTOR)
(314) 942-9825
Entity
Organization

Contact information

Practice address
119 CHURCH ST, SUITE 132, FERGUSON, MO 63135-2442
(314) 942-9825
(314) 942-9838
Mailing address
119 CHURCH ST, SUITE 132, FERGUSON, MO 63135-2442
(314) 942-9825
(314) 942-9838

Taxonomy

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

Other

Enumeration date
06/22/2016
Last updated
06/22/2016
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