NRA-ST. LOUIS, MISSOURI, LLC

SAINT LOUIS, MO
NPI1548201874
Doing Business AsFOREST PARK DIALYSIS CLINIC
Entity TypeOrganization
Authorized ContactBARRY L. BLANTON
Vice President
781-699-9000
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
(Licence: MO  N/A)
Enumeration Date2006-06-09
Last Update Date2023-10-17
Business Address
NRA-ST. LOUIS, MISSOURI, LLC
2635 HAMPTON AVE
SAINT LOUIS, MO 63139-2912
Phone number: 314-646-1717
Mailing Address
NRA-ST. LOUIS, MISSOURI, LLC
2635 HAMPTON AVE
SAINT LOUIS, MO 63139-2912
Phone number: 314-646-1717