Organization
MARTY'S MIRACULOUS CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA BANKS (OWNER)
(314) 359-9665
Entity
Organization
Contact information
Practice address
3431 BRIDGELAND DR STE K, BRIDGETON, MO 63044-2648
(314) 359-9665
Mailing address
3431 BRIDGELAND DR STE K, BRIDGETON, MO 63044-2648
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/03/2023
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