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NPI Code Detail

MEDICARE: TORI TRU HOMES LLC

MEDICARE: TORI TRU HOMES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1174112379
Entity Type Code : Organization
Provider Name (Legal Business Name) : TORI TRU HOMES LLC
Provider Business Mailing Address
First Line : 4218 E MAFFITT AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63113-2935
Country : US
Telephone Number : 314-226-2770
Fax Number :
Provider Business Practice Location Address
First Line : 4218 E MAFFITT AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63113-2935
Country : US
Telephone Number : 314-226-2770
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VICTORIA J WASHINGTON
Credential :
Telephone Number : 314-226-2770
Provider Enumeration Date : 01/12/2021
Last Update Date : 01/12/2021

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Directions to “TORI TRU HOMES LLC ” Practice Location

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