| NPI | 1902881956 |
|---|---|
| Doing Business As | MEDICAL WEST HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH ALAN SANDLER President 314-725-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 10803009) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2009-02-25 |