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Organization

ANGELS OF VIRTUE HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVELYN COLEMAN (DIRECTOR)
(618) 855-4353
Entity
Organization

Contact information

Practice address
3149 MERAMEC ST, SAINT LOUIS, MO 63118-4338
(618) 855-4353
(618) 855-4353
Mailing address
1415 PRINCETON DR, O FALLON, IL 62269-2717
(618) 855-4353

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
174200000X
Meals Provider
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
347B00000X
Bus
347C00000X
Private Vehicle
385H00000X
Respite Care
385HR2050X
Respite Care Camp

Other

Enumeration date
07/10/2017
Last updated
07/10/2017
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