Organization
HAVEN HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA NICHELLE VINCENT (COMMUNITY HOME BASED SPECIALIST)
(800) 245-9693
Entity
Organization
Contact information
Practice address
1515 N WARSON RD, 111, SAINT LOUIS, MO 63132-1111
(800) 245-9693
Mailing address
1515 WARSON RD, 111, SAINT LOUIS, MO 63132
(800) 245-9693
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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