Organization
BEAUTIFUL ANGELS CONSUMER DIRECTED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITA HEARN (OWNER)
(314) 736-1563
Entity
Organization
Contact information
Practice address
119 CHURCH ST, SUITE # 226, FERGUSON, MO 63135-2442
(314) 736-1563
(314) 736-1564
Mailing address
119 CHURCH ST, SUITE # 226, FERGUSON, MO 63135-2442
(314) 736-1563
(314) 736-1564
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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