Organization
GOLDEN HEART HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIONA COATES REGISTERED NURSE (OWNER)
(314) 363-4010
Entity
Organization
Contact information
Practice address
16747 STANFORD PLACE DR, FLORISSANT, MO 63034-3214
(314) 363-4010
Mailing address
16747 STANFORD PLACE DR, FLORISSANT, MO 63034-3214
(314) 363-4010
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27019284
MOID
MO
Enumeration date
10/19/2021
Last updated
10/19/2021
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