Organization
HAVEN OF GROOMING
Active
Other names
Groom Theory
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINITA HOBBS (MANAGER)
(314) 606-9754
Entity
Organization
Contact information
Practice address
51 FLORISSANT OAKS SHOP CENTER, FLORISSANT, MO 63031
(314) 933-6883
Mailing address
51 FLORISSANT OAKS SHOP CTR, FLORISSANT, MO 63031-3934
(314) 933-6883
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
2015000333
MO
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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