Individual provider · Type 1 NPI

Tequila Dionta Clark

Home Health Agency · Florissant, MO

NPI number 1427752245 Active

Practice location

1169 N Highway 67 St
Florissant, MO 63031-4701

Call (314) 733-5683 Map

Fax (314) 733-5684

Mailing address

2460 Center Ave
St. Louis, MO 63136-3916

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1427752245

Tequila Dionta Clark's National Provider Identifier is 1427752245, issued on Mar 27, 2023. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Florissant, MO. The record was last updated on Mar 27, 2023.