| NPI | 1548734627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLESYA CHERNENKO Organizator/Member 636-293-1457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |