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Organization

HEALING WATERS OF ST LOUIS LLC

Active
Other names
N/A
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIENNE RENEE HARRIS (OWNER)
(314) 397-6197
Entity
Organization

Contact information

Practice address
1670 HORSESHOE DR, FLORISSANT, MO 63033-2526
(314) 397-6197
Mailing address
1670 HORSESHOE DR, FLORISSANT, MO 63033-2526
(314) 397-6197

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
08/19/2019
Last updated
08/19/2019
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