Omega Long Term Care Llc

NPI 1285042184 - Assisted Living Facility - 310400000X

NPI Details
NPI 1285042184
Enumeration Date 07/24/2014
Last Updated 07/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KIM L KIM
Position OFFICE MANAGER
Phone (314) 551-0338
Fax (314) 551-0336
Practice Location
12800 BOENKER LN
BRIDGETON MO, 63044-2438, US
Phone (314) 551-0338
Fax (314) 551-0336
Business Location
12800 BOENKER LN
BRIDGETON MO, 63044-2438, US
Phone (314) 551-0338
Fax (314) 551-0336
Toxanomy
Taxonomy Code 310400000X
License State Missouri
License Number 137743
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According to our database, Omega Long Term Care Llc NPI is 1285042184, taxonomy code is 310400000X and license number is 137743, license state is located at Missouri. Omega Long Term Care Llc physically located at 12800 Boenker Ln, Bridgeton MO, 63044-2438. NPI Number 1033115704 has the healthcare provider type.

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1285042184 NPI number is provided on an as is basis without warranty of any kind. 1285042184 is maintained by the National Plan & Provider Enumeration System. The contents of Omega Long Term Care Llc are for informational purposes only.