Butterfly LMD Enterprise, Inc

Organization Active NPI Custodial Care Facility · Hazelwood, MO

NPI 1700566163 · NPPES record last updated Jul 20, 2023

Key facts

NPI
1700566163
Entity type
Organization (NPI type 2)
Primary specialty
Custodial Care Facility 311Z00000X
Legal business name
BUTTERFLY LMD ENTERPRISE, INC
Practice address
5223 Ville Anita CT
Hazelwood, MO 63042-1608
Phone
(314) 691-3189
NPI assigned
Jul 20, 2023
Organization subpart
No

Authorized official

Name
Ms. Deidre Michelle Lewis
Title
Owner
Phone
(314) 691-3189

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Yes

Addresses

Primary practice location

5223 Ville Anita CT
Hazelwood, MO 63042-1608

Mailing address

5223 Ville Anita CT
Hazelwood, MO 63042-1608
Phone (314) 691-3189

Other providers in Hazelwood, MO

All providers in Hazelwood, MO · Custodial Care Facility in Missouri

Sources for this page

Verify at the official NPI Registry.