Tiffany Green

NPI 1912573510 · on the registry since 2021

Practice

Address: 6207 N Lindbergh Blvd
Hazelwood, MO 63042
Phone: (314) 393-1639
Organisation at this address: Sunshine Adult Day Care Facility
Green Haven Adult Day Program Llc
Golden Heart Adult Day Program, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 376G00000X
376G00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri