Organization
BOUNTIFUL BLESSINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERNITA RENEE LEWIS (DIRECTOR/OWNER)
(314) 479-6674
Entity
Organization
Contact information
Practice address
126 FLORA DR, SAINT LOUIS, MO 63135-1025
(314) 833-9661
Mailing address
126 FLORA DR, SAINT LOUIS, MO 63135-1025
(314) 833-9661
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1246
MO
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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