| NPI | 1104066778 |
|---|---|
| Doing Business As | MEDICAL WEST HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH ALAN SANDLER President 314-993-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 10803009) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 850200908) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2012-06-11 |