Organization
TRP COMMUNITY RESOURCE DEVELOPMENT CORPORATION
Active
Parent organization
MEDIPLEX
Other names
Wound Care Assistance Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDIPLEX
Authorized official
MYISA WHITLOCK (DEPUTY DIRECTOR)
(314) 400-4051
Entity
Organization
Contact information
Practice address
9374 OLIVE BLVD, SUITE 101, SAINT LOUIS, MO 63132-3253
(314) 400-1051
Mailing address
9374 OLIVE BLVD, SUITE 101, SAINT LOUIS, MO 63132-3253
(314) 991-8808
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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