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1104471283
TLA CONSUMER DIRECTED SERVICE
SAINT LOUIS, MO
NPI
1104471283
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Entity Type
Organization
Authorized Contact
ANGELETTA WILLIAMS
Owner/Director
314-584-0396
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
TLA CONSUMER DIRECTED SERVICE
214 E HOLDEN AVE
SAINT LOUIS, MO 63125-2105
Phone number: 314-584-0396
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Mailing Address
TLA CONSUMER DIRECTED SERVICE
214 E HOLDEN AVE
SAINT LOUIS, MO 63125-2105
Phone number: 314-584-0396
Copy
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