Organization
DIVINE SERENITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAR MECHELE ROBERSON (OWNER)
(314) 667-9125
Entity
Organization
Contact information
Practice address
4607 STEINLAGE DR, SAINT LOUIS, MO 63115-2510
(314) 667-9125
Mailing address
4607 STEINLAGE DR, SAINT LOUIS, MO 63115-2510
(314) 667-9125
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC001484592
MO
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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