Organization
HAVEN OF LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARHON DENEEN LUSTER (DIRECTOR)
(314) 612-0603
Entity
Organization
Contact information
Practice address
1515 N WARSON RD STE 265, OLIVETTE, MO 63132-1110
(314) 612-0603
Mailing address
1515 N WARSON RD STE 265, OLIVETTE, MO 63132-1110
(314) 612-0603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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