| NPI | 1023768421 |
|---|---|
| Doing Business As | HEALING WATERS OF ST LOUIS LLC |
| Entity Type | Organization |
| Authorized Contact | LATOYA DAVIS Owner 314-371-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-29 |