Organization
DAVIS RELIABLE HOME HEALTHCARE AGENCY
Active
Other names
HEALING WATERS OF ST LOUIS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA DAVIS (OWNER)
(314) 371-8043
Entity
Organization
Contact information
Practice address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
(314) 371-8043
(314) 558-3955
Mailing address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
(314) 371-8043
(314) 558-3955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09141981
—
MO
Enumeration date
03/28/2022
Last updated
03/29/2022
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