NPI 1922335926

Blue Hayven In-Home Health Care

Organisation Physical Disabilities Residential Treatment Facility Saint Louis, MO

Practice location

Address: 11553 Withersfield Dr, Saint Louis, MO 63138-1152
Phone: (314) 395-6121
Fax: (314) 395-6121

Authorised official

Name: Nicole Brock-Williams
Title: Owner
Phone: (314) 395-6121

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Missouri →

Registry record

NPI: 1922335926
Entity type: Organization
NPI issued: 11 Nov 2009
Record last updated: 11 Nov 2009

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.