Organization
AVALCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL RAHMAN ALMOUSALLI (PART-OWNER)
(618) 233-0100
Entity
Organization
Contact information
Practice address
1 ROYAL HEIGHTS CTR, BELLEVILLE, IL 62226-5705
(618) 233-0100
Mailing address
1 ROYAL HEIGHTS CTR, BELLEVILLE, IL 62226-5705
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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