Organization
LIV LUX AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER TALLEY (EXECUTIVE DIRECTOR)
(314) 429-1515
Entity
Organization
Contact information
Practice address
1409 WASHINGTON AVE STE 417, SAINT LOUIS, MO 63103-1917
(314) 429-1515
(314) 492-4151
Mailing address
1409 WASHINGTON AVE STE 417, SAINT LOUIS, MO 63103-1917
(314) 429-1515
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/10/2017
Last updated
07/21/2022
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