House Of Mariam Holistic Home Health Care LLC
Prevention Professional in Columbia, MO. Organization (NPI-2).
NPI number1295566321
StatusActive
Last updated in NPPESAug 10, 2024
Details
- NPI
- 1295566321
- Entity type
- Organization (NPI-2)
- Legal business name
- House Of Mariam Holistic Home Health Care LLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2024
- Certification date
- Aug 10, 2024
- Last updated
- Aug 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
1543 S Sonora DrColumbia, MO 65201-9471
Phone 708-314-8159
Mailing address
1543 S Sonora DrColumbia, MO 65201-9471
Phone 708-314-8159
Authorized official
Vida H Amegashie
Ceo
7083148159
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