Organization
OSMAN LLC
Active
Other names
countryhaven 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI CHAUDHRY (MANAGING MEMBER LLC)
(314) 630-2414
Entity
Organization
Contact information
Practice address
19235 STATE ROUTE EE, STE GENEVIEVE, MO 63670-8213
(573) 756-8141
(573) 756-9141
Mailing address
2322 MUELLER LN, SAINT LOUIS, MO 63131-1411
(314) 630-2414
(314) 383-3353
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
037932
MO
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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