Organization
DELMAR GARDENS NORTH OPERATING, LLC
Active
Other names
Delmar Gardens North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL LEE HARTMANN (TREASURER)
(636) 733-7000
Entity
Organization
Contact information
Practice address
4401 PARKER RD, BLACK JACK, MO 63033-4266
(314) 355-1516
(314) 355-9074
Mailing address
14805 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63017-6060
(636) 733-7000
(636) 733-7010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102507407
—
MO
Enumeration date
09/16/2005
Last updated
01/23/2015
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