| NPI | 1942344981 |
|---|---|
| Doing Business As | ALTON WOUND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-01-07 |