Organization
CHANGE OF TIME HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA SHIELDS (CEO)
(314) 757-5661
Entity
Organization
Contact information
Practice address
2176A N WATERFORD DR, FLORISSANT, MO 63033-2301
(314) 757-5661
Mailing address
2176A N WATERFORD DR, FLORISSANT, MO 63033-2301
(314) 757-5661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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