Organization
CARESTL HEALTH
Active
Other names
Hazelwood East
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL RENEE CLABON (CHIEF EXECUTIVE OFFICER)
(314) 367-5820
Entity
Organization
Contact information
Practice address
11300 DUNN RD, SAINT LOUIS, MO 63138
(314) 367-5820
(314) 367-6326
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-6326
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MO
Other
Enumeration date
05/14/2018
Last updated
09/26/2018
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