Organization
HEALING WATERS ADULT DAYCARE
Active
Other names
HEALING WATERS OF ST LOUIS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE HARRIS (OWNER)
(314) 397-6197
Entity
Organization
Contact information
Practice address
1777 N NEW FLORISSANT RD, FLORISSANT, MO 63033-1905
(131) 439-7619
Mailing address
1777 N NEW FLORISSANT RD, FLORISSANT, MO 63033-1905
(314) 397-6197
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908282
—
MO
Enumeration date
02/10/2023
Last updated
02/10/2023
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