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Organization

ANGEL BUDDY HOME HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATIANA JEANEA ECHOLS (OWNER)
(314) 876-0171
Entity
Organization

Contact information

Practice address
6978 CHIPPEWA ST STE 7, SAINT LOUIS, MO 63109-3098
(314) 876-0171
Mailing address
8313 WOODHURST DR, SAINT LOUIS, MO 63134-1212
(314) 898-5464

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01
PRIVATE PAY HOME HEALTH SERVICES
MO
Enumeration date
02/28/2022
Last updated
07/29/2022
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