Organization
PLEASANTRY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY TOLES (OWNER)
(314) 548-9195
Entity
Organization
Contact information
Practice address
4144 LINDELL BLVD, SAINT LOUIS, MO 63108-2927
(314) 548-9195
(314) 549-8373
Mailing address
PO BOX 681, FLORISSANT, MO 63032-0681
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
MO
Enumeration date
02/03/2018
Last updated
02/03/2018
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