location
search-icon
person
Tequila Dionta Clark
Home Health Agency in Florissant, Missouri
NPI 1427752245

Tequila Dionta Clark is a Home Health Agency based in Saint Louis, MO. Tequila Dionta Clark practices in Florissant, MO. The NPI Number for Tequila Dionta Clark is 1427752245 and holds a License No. (Missouri).

The current practice location address for Tequila Dionta Clark is 1169 N Highway 67 St, Florissant, MO and can be reached out via phone at 314-733-5683 and via fax at 314-733-5684.

Location: 1169 N Highway 67 St, Florissant, MO, 63136-3916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427752245
Provider Name
Tequila Dionta Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1169 N Highway 67 St, Florissant, MO, 63136-3916
Phone Number
314-733-5683
Fax Number
314-733-5684
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1169 N Highway 67 St
City
Florissant
State
Missouri
Zip
63031-4701
Phone Number
314-733-5683
Fax Number
314-733-5684
person
Provider Business Mailing Address Details
Address
1169 N Highway 67 St
City
Florissant
State
Missouri
Zip
63031-4701
Phone Number
314-733-5683
Fax Number
314-733-5684
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.