Organization
MISSOURI HOME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA HOLLOWAY (OWNER)
(314) 524-3958
Entity
Organization
Contact information
Practice address
6746 PAGE AVE STE 200, SAINT LOUIS, MO 63133-1616
(314) 524-3958
Mailing address
6746 PAGE AVE STE 200, SAINT LOUIS, MO 63133-1616
(314) 524-3958
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
04/27/2022
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