Organization
HAVEN HANDS LLC
Active
Other names
HAVEN HAND, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE GIBSON (OWNER)
(314) 598-5498
Entity
Organization
Contact information
Practice address
2736 SEDAN DR, SAINT LOUIS, MO 63125-4054
(314) 598-5498
Mailing address
2736 SEDAN DR, SAINT LOUIS, MO 63125-4054
(314) 598-5498
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LC1783047
—
MO
Enumeration date
06/04/2021
Last updated
06/04/2021
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