Organization
LATITIANA'S HEALTHCARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELLA L LAWRENCE (CEO)
(636) 898-6994
Entity
Organization
Contact information
Practice address
9700 MACKENZIE RD STE 225B, AFFTON, MO 63123-5560
(636) 898-6994
(636) 898-6994
Mailing address
9700 MACKENZIE RD STE 225B, AFFTON, MO 63123-5560
(636) 898-6994
(636) 898-6994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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