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Contact Information

HERBAL ENVY SKINCARE LLC
12630 SHORESIDE DRIVE
FLORISSANT, MO63033
 Phone: 314-824-8450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for HERBAL ENVY SKINCARE LLC

NPI Number 1275195976
LBN Legal business name HERBAL ENVY SKINCARE LLC
Authorized official ANGELA DAVIS BRADFORD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2019
Last updated 03/26/2024 - About 2 years ago
Identifiers
MO Medicaid 99-2115000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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