Organization
INTERFAITH RESIDENCE
Active
Other names
Key Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL JONES (PRESIDENT & CEO)
(314) 535-1919
Entity
Organization
Contact information
Practice address
1101 N JEFFERSON AVE, SAINT LOUIS, MO 63106-2222
(314) 535-1919
(314) 535-0909
Mailing address
1101 N JEFFERSON AVE, SAINT LOUIS, MO 63106-2222
(314) 535-1919
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/30/2025
Last updated
12/29/2025
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