Organization
LIVING WATERS HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVANDA TURNER R.N. (ADMINISTRATOR)
(314) 252-2493
Entity
Organization
Contact information
Practice address
2790 MONFORT DR, FLORISSANT, MO 63033-2419
(314) 252-2493
Mailing address
2790 MONFORT DR, FLORISSANT, MO 63033-2419
(314) 252-2493
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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