Organization
ANGEL BUDDY HOME HEALTH LLC
Active
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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