Organization
YOUR TENDER LOVING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELYNE BODLEY (DIRECTOR)
(314) 802-8080
Entity
Organization
Contact information
Practice address
625 N EUCLID AVE STE 551B, SAINT LOUIS, MO 63108-1690
(314) 802-8080
(314) 802-8082
Mailing address
625 N EUCLID AVE STE 551B, SAINT LOUIS, MO 63108-1690
(314) 802-8080
(314) 802-8082
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/17/2014
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