Organization
BELLEFONTAINE GARDENS HEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J CRADDICK (IN-HOUSE COUNSEL)
(314) 543-3816
Entity
Organization
Contact information
Practice address
9500 BELLEFONTAINE RD, SAINT LOUIS, MO 63137-1336
(314) 388-0796
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
(314) 543-3816
(314) 543-3880
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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