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Organization
LESSIE BATES DAVIS NEIGHBORHOOD HOUSE
Active
Organization
LESSIE BATES DAVIS NEIGHBORHOOD HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER K COLEMAN BSHR, MBA (SR. VICE PRESIDENT)
(618) 874-0777
Entity
Organization
Contact information
Practice address
1200 NORTH 13TH STREET, EAST SAINT LOUIS, IL 62205
(618) 874-0777
(618) 874-0511
Mailing address
1200 NORTH 13TH, EAST SAINT LOUIS, IL 62205
(618) 874-0777
(618) 874-0511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
IL
225100000X
Physical Therapist
Primary
—
IL
225X00000X
Occupational Therapist
—
IL
231H00000X
Audiologist
—
IL
376K00000X
Nurse's Aide
—
IL
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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