Organization
MARY QUEEN AND MOTHER ASSOCIATION
Active
Other names
Mary Queen and Mother Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN M. LEDBETTER CNHA (ADMINISTRATOR)
(314) 961-8000
Entity
Organization
Contact information
Practice address
7601 WATSON RD, SAINT LOUIS, MO 63119-5001
(314) 961-8000
(314) 961-3580
Mailing address
7601 WATSON RD, SAINT LOUIS, MO 63119-5001
(314) 961-8000
(314) 961-3580
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030630
MO
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101454601
—
MO
Enumeration date
07/22/2005
Last updated
12/11/2024
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