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Mrs. Tiffany Danielle Green
Nursing Home Administrator in Hazelwood, Missouri
NPI 1912573510

Tiffany Danielle Green is a Nursing Home Administrator based in Florissant, MO. Tiffany Danielle Green practices in Hazelwood, MO. The NPI Number for Tiffany Danielle Green is 1912573510 and holds a License No. (Missouri).

The current practice location address for Tiffany Danielle Green is 6207 N Lindbergh Blvd, Hazelwood, MO and can be reached out via phone at 314-393-1639.

Location: 6207 N Lindbergh Blvd, Hazelwood, MO, 63031-7518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912573510
Provider Name
Tiffany Danielle Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
6207 N Lindbergh Blvd, Hazelwood, MO, 63031-7518
Phone Number
314-393-1639
Fax Number
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6207 N Lindbergh Blvd
City
Hazelwood
State
Missouri
Zip
63042-2817
Phone Number
314-393-1639
Fax Number
person
Provider Business Mailing Address Details
Address
6207 N Lindbergh Blvd
City
Hazelwood
State
Missouri
Zip
63042-2817
Phone Number
314-393-1639
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
(Missouri)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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