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Organization
HEAVEN SCENT CONSUMER DIRECTED SERVICES
Active
Organization
HEAVEN SCENT CONSUMER DIRECTED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAKENDRA SHARON HUNT NURSE PRACTITONER (EXECUTIVE DIRECTOR)
(314) 438-0955
Entity
Organization
Contact information
Practice address
15610 DEBRIDGE WAY, FLORISSANT, MO 63034-3472
(314) 556-1413
Mailing address
3379 N HIGHWAY 67, FLORISSANT, MO 63033-1604
(314) 438-0955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
08/05/2016
Last updated
07/21/2022
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