Organization
IDALIA BLUE'S HOME HEALTH II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA COLEMAN (MANAGING MEMBER)
(636) 328-9664
Entity
Organization
Contact information
Practice address
10174 W FLORISSANT AVE # 319, SAINT LOUIS, MO 63136-2104
(636) 328-9664
Mailing address
10174 W FLORISSANT AVE # 319, SAINT LOUIS, MO 63136-2104
(636) 328-9664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
02/05/2024
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