House of Mariam Holistic Home Health Care LLC

NPI #1295566321 in Columbia, Missouri

Provider Information

NPI Number: 1295566321
Entity Type: Organization
Organization Name: House of Mariam Holistic Home Health Care LLC
Primary Specialty: Prevention Professional
Enumeration Date: Aug 10, 2024
Last Updated: Aug 10, 2024

Practice Location

Address: 1543 S SONORA DR
City: Columbia
State: Missouri
ZIP Code: 65201-9471
Phone: (708) 314-8159

Authorized Official

Name: VIDA H AMEGASHIE
Title: CEO
Phone: (708) 314-8159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Prevention Professional	405300000X	Primary

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