Holistic Healthcare Llc

NPI 1417334137 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1417334137
Enumeration Date 05/01/2015
Last Updated 05/01/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CHANTAY MONIQUE CHANTAY
Position DIRECTOR
Phone (314) 918-5736
Fax
Practice Location
4630 ROBBINS GROVE DR
FLORISSANT MO, 63034-2840, US
Phone (314) 918-5736
Fax
Business Location
4630 ROBBINS GROVE DR
FLORISSANT MO, 63034-2840, US
Phone (314) 918-5736
Fax
Toxanomy
Taxonomy Code 313M00000X
License State Missouri
License Number 2000150468
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According to our database, Holistic Healthcare Llc NPI is 1417334137, taxonomy code is 313M00000X and license number is 2000150468, license state is located at Missouri. Holistic Healthcare Llc physically located at 4630 Robbins Grove Dr, Florissant MO, 63034-2840. NPI Number 1033115704 has the healthcare provider type.

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1417334137 NPI number is provided on an as is basis without warranty of any kind. 1417334137 is maintained by the National Plan & Provider Enumeration System. The contents of Holistic Healthcare Llc are for informational purposes only.