NPI 1104473750

Healing Waters of St Louis LLC

Organisation Personal Care Attendant Florissant, MO

Practice location

Address: 1670 Horseshoe Dr, Florissant, MO 63033-2526
Phone: (314) 397-6197

Authorised official

Name: Adrienne Renee Harris
Title: Owner
Phone: (314) 397-6197

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1104473750
Entity type: Organization
NPI issued: 19 Aug 2019
Record last updated: 19 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.