The State Of The Art Adult Healthcare Centre

NPI 1225377401 - Clinic/Center - 261QA0600X

NPI Details
NPI 1225377401
Enumeration Date 02/07/2013
Last Updated 02/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name YVETTE JACINTA YVETTE
Position CHIEF EXECUTIVE ADMINISTRATOR
Phone (314) 239-0313
Fax (636) 226-4712
Practice Location
4130 E LEXINGTON AVE
SAINT LOUIS MO, 63115-3333, US
Phone (314) 239-0313
Fax (636) 226-4712
Business Location
4130 E LEXINGTON AVE
SAINT LOUIS MO, 63115-3333, US
Phone (314) 239-0313
Fax (636) 226-4712
Toxanomy
Taxonomy Code 261QA0600X
License State Missouri
License Number 1084
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According to our database, The State Of The Art Adult Healthcare Centre NPI is 1225377401, taxonomy code is 261QA0600X and license number is 1084, license state is located at Missouri. The State Of The Art Adult Healthcare Centre physically located at 4130 E Lexington Ave, Saint Louis MO, 63115-3333. NPI Number 1033115704 has the healthcare provider type.

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1225377401 NPI number is provided on an as is basis without warranty of any kind. 1225377401 is maintained by the National Plan & Provider Enumeration System. The contents of The State Of The Art Adult Healthcare Centre are for informational purposes only.