Organization
AMANDAS MINI DAY SPA
Active
Other names
Amandas Mini Day Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA RANSOM LMT (OWNER)
(314) 467-0766
Entity
Organization
Contact information
Practice address
510 E CHAIN OF ROCKS RD, GRANITE CITY, IL 62040-2803
(314) 467-0766
Mailing address
510 E CHAIN OF ROCKS RD, GRANITE CITY, IL 62040-2803
(314) 467-0766
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2001010642
MO
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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