Organization
JSC II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA K TRUSTY (OFFICE MANAGER)
(314) 291-3377
Entity
Organization
Contact information
Practice address
440 OLD DORSETT RD, MARYLAND HEIGHTS, MO 63043-3410
(314) 291-3377
(314) 291-3378
Mailing address
440 OLD DORSETT RD, MARYLAND HEIGHTS, MO 63043-3410
(314) 291-3377
(314) 291-3378
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
801
IL
Other
Enumeration date
02/26/2008
Last updated
07/21/2022
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