Organization
DEDICATED MISSOURI HOLDING, LLC
Active
Parent organization
DEDICATED MISSOURI HOLDING, LLC
Other names
Dedicated Senior Medical Center Ferguson
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED MISSOURI HOLDING, LLC
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 628-6117
Entity
Organization
Contact information
Practice address
10990 NEW HALLS FERRY RD STE 1, SAINT LOUIS, MO 63136-4471
(314) 788-6444
(314) 788-6504
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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