Organization
PROSPERITY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SELINA BROWN LPN (OWNER)
(314) 422-2285
Entity
Organization
Contact information
Practice address
10524 CASTLE DR, SAINT LOUIS, MO 63136-6004
(314) 265-4365
Mailing address
10524 CASTLE DR, SAINT LOUIS, MO 63136-6004
(314) 265-4365
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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