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NPI Code Detail

MEDICARE: TRIPPLE B LLC

MEDICARE: TRIPPLE B 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 : 1366964363
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIPPLE B LLC
Provider Business Mailing Address
First Line : 11441 BRISTOL ROCK RD
Second Line :
City : FLORISSANT
State : MO
Zip : 63033-7508
Country : US
Telephone Number : 314-473-2422
Fax Number :
Provider Business Practice Location Address
First Line : 11441 BRISTOL ROCK RD
Second Line :
City : FLORISSANT
State : MO
Zip : 63033-7508
Country : US
Telephone Number : 314-473-2422
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. JAMEIA EMERALD WARE
Credential :
Telephone Number : 314-473-2422
Provider Enumeration Date : 07/11/2017
Last Update Date : 07/21/2022

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Directions to “TRIPPLE B LLC ” Practice Location

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