Organization
HOPEWELL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LEE MONTGOMERY R.N. (CASE MANAGER)
(314) 531-1770
Entity
Organization
Contact information
Practice address
4411 N NEWSTEAD AVE, SAINT LOUIS, MO 63115-2534
(314) 531-1770
(314) 381-6796
Mailing address
218 GREENSHIRE LN, O FALLON, MO 63368-8364
(636) 379-7727
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
36874
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36874
R.N.
MO
Enumeration date
05/08/2007
Last updated
08/22/2020
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