# HEALING HEART DIRECT SERVICE CONSUMER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871113670
- **Authorized official:** MRS. LYDIA WILSON CMT (OWNER/MANAGER)
- **Authorized official phone:** (314) 224-9426

## Contact information

- **Practice address:** 52 ARBOR VILLAGE CT APT A, SAINT LOUIS, MO 63135-2975
- **Practice address phone:** (314) 224-9426
- **Mailing address:** 52 ARBOR VILLAGE CT APT A, SAINT LOUIS, MO 63135-2975
- **Mailing address phone:** (314) 224-9426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 04/21/2020