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Organization

NIRVANA HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAYDREA MOORE (EXECUTIVE DIRECTOR)
(314) 874-7484
Entity
Organization

Contact information

Practice address
4069 ASHBURY CROSSING DR, FLORISSANT, MO 63034-2884
(314) 874-7484
(314) 552-7140
Mailing address
4069 ASHBURY CROSSING DR, FLORISSANT, MO 63034-2884
(314) 874-7484
(314) 552-7140

Taxonomy

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

Other

Enumeration date
07/22/2020
Last updated
10/01/2020
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