Organization
HOLISTIC HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAY MONIQUE KING RN (DIRECTOR)
(314) 458-5451
Entity
Organization
Contact information
Practice address
4630 ROBBINS GROVE DR, FLORISSANT, MO 63034-2840
(314) 918-5736
Mailing address
4630 ROBBINS GROVE DR, FLORISSANT, MO 63034-2840
(314) 918-5736
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2000150468
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000150468
RN
MO
Enumeration date
05/01/2015
Last updated
05/01/2015
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