Organization
PAVILION HEALTH COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGARAJ V KUNDA (OWNER/DIRECTOR)
(314) 312-5588
Entity
Organization
Contact information
Practice address
1700 E BOGARD RD STE 102AB, WASILLA, AK 99654-6563
(314) 312-5588
Mailing address
11520 SAINT CHARLES ROCK RD STE 105A, BRIDGETON, MO 63044-2732
(314) 475-5078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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