Healthcare Provider Details

I. General information

NPI: 1629401625
Provider Name (Legal Business Name): TENDER MERCIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8612 NATURAL BRIDGE
ST. LOUIS MO
63121-4110
US

IV. Provider business mailing address

3772 GREENMOOR GARDENS CT
FLORISSANT MO
63034-3231
US

V. Phone/Fax

Practice location:
  • Phone: 314-680-1449
  • Fax:
Mailing address:
  • Phone: 314-680-1449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA CITCHEN
Title or Position: VP/CFO
Credential:
Phone: 314-680-1449