Organization
CITY OF ST. LOUIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA JENKINS (INFORMATION SYSTEMS COORDINATOR)
(314) 657-1673
Entity
Organization
Contact information
Practice address
1520 MARKET ST RM 4086, SAINT LOUIS, MO 63103-2614
(314) 657-1673
(314) 612-5915
Mailing address
1520 MARKET ST RM 4086, SAINT LOUIS, MO 63103-2614
(314) 657-1673
(314) 612-5915
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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