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Samantha Donovan
Nursing Home Administrator in Saint Louis, Missouri
NPI 1689027278

Samantha Donovan is a Nursing Home Administrator based in New Orleans, MO. Samantha Donovan practices in Saint Louis, MO. The NPI Number for Samantha Donovan is 1689027278 and holds a License No. (Missouri).

The current practice location address for Samantha Donovan is 4385 Maryland Ave, Saint Louis, MO and can be reached out via phone at 504-896-2345.

Location: 4385 Maryland Ave, Saint Louis, MO, 70115-3553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689027278
Provider Name
Samantha Donovan
Credential
Provider Entity Type
Individual
Gender
Female
Address
4385 Maryland Ave, Saint Louis, MO, 70115-3553
Phone Number
504-896-2345
Fax Number
Provider Enumeration Date
07/19/2016
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
4385 Maryland Ave
City
Saint Louis
State
Missouri
Zip
63108-2703
Phone Number
504-896-2345
Fax Number
person
Provider Business Mailing Address Details
Address
4385 Maryland Ave
City
Saint Louis
State
Missouri
Zip
63108-2703
Phone Number
504-896-2345
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
8079 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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