Organization
HEARTS OF HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIISHA MARIE OWENS (MANAGER)
(314) 372-9446
Entity
Organization
Contact information
Practice address
2529 HACKMAN DR, SAINT LOUIS, MO 63136-5836
(314) 372-9446
Mailing address
2529 HACKMAN DR, SAINT LOUIS, MO 63136-5836
(314) 372-9446
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
001532409
MO
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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