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1891238077
IMDAD LONG TERM CARE, LLC
BALLWIN, MO
NPI
1891238077
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Entity Type
Organization
Authorized Contact
RIFFAT Y IMDAD
President
314-651-6129
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2000160629)
Enumeration Date
2016-11-21
Last Update Date
2016-11-21
Business Address
IMDAD LONG TERM CARE, LLC
18 LOCHHAVEN LN
BALLWIN, MO 63021-8020
Phone number: 636-527-9595
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Mailing Address
IMDAD LONG TERM CARE, LLC
424 W 4TH ST
WATERLOO, IL 62298-1378
Phone number: 618-939-1193
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