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Organization

STAR TYME HOME HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYRONNICA JOHNSON (OWNER)
(314) 679-0100
Entity
Organization

Contact information

Practice address
8251 MONTREAL DR, SAINT LOUIS, MO 63132-2619
(314) 679-0100
Mailing address
8251 MONTREAL DR, SAINT LOUIS, MO 63132-2619
(314) 679-0100

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
04/22/2022
Last updated
05/31/2023
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