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Organization
ADMINISTRATIVE SUPPORT SERVICES, INC
Active
Organization
ADMINISTRATIVE SUPPORT SERVICES, INC
Active
Other names
West Pine Medical
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI DENNIS (OFFICER)
(480) 396-8355
Entity
Organization
Contact information
Practice address
5535 DELMAR BLVD, SUITE W-219, SAINT LOUIS, MO 63112-3005
(314) 367-5622
Mailing address
4579 LACLEDE AVE # 229, SAINT LOUIS, MO 63108-2103
(314) 367-5622
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
I372802
MO
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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