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Organization

VNA-TIP HOMECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICK H GOODRICH (DIRECTOR)
(314) 595-6804
Entity
Organization

Contact information

Practice address
3440 DE PAUL LN, BRIDGETON, MO 63044-3545
(314) 595-6800
Mailing address
3440 DE PAUL LN, BRIDGETON, MO 63044-3545
(314) 595-6800

Taxonomy

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

Other

Enumeration date
06/16/2010
Last updated
06/16/2010
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