Organization
KING CITY HEALTHCARE, LLC
Active
Other names
King City Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (MEMBER)
(314) 631-3000
Entity
Organization
Contact information
Practice address
300 W FAIRVIEW ST, KING CITY, MO 64463-9606
(660) 535-4325
Mailing address
6 CITYPLACE DR, SUITE 430, SAINT LOUIS, MO 63141-7157
(314) 631-3000
(314) 942-6634
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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