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Organization

HEALING HEART DIRECT SERVICE CONSUMER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LYDIA WILSON CMT (OWNER/MANAGER)
(314) 224-9426
Entity
Organization

Contact information

Practice address
52 ARBOR VILLAGE CT APT A, SAINT LOUIS, MO 63135-2975
(314) 224-9426
Mailing address
52 ARBOR VILLAGE CT APT A, SAINT LOUIS, MO 63135-2975
(314) 224-9426

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/21/2020
Last updated
04/21/2020
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