Organization
GOD GIVEN HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANISHA MARTIN (OWNER)
(314) 933-0155
Entity
Organization
Contact information
Practice address
4064 MAFFITT AVE, SAINT LOUIS, MO 63113-3235
(314) 933-0155
Mailing address
6229 GREER AVE, SAINT LOUIS, MO 63121-5619
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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