Organization
DIVINE ASSISTANCE 4 U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLA WILSON (DIRECTOR)
(314) 374-8866
Entity
Organization
Contact information
Practice address
2065 WALTON RD STE 109, OVERLAND, MO 63114-5805
(314) 774-0814
Mailing address
160 BEHLMANN MEADOWS WAY, FLORISSANT, MO 63034-2863
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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