Organization
BEL OAK OF HUDSON HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG WEINER (MANAGING DIRECTOR)
(417) 678-2169
Entity
Organization
Contact information
Practice address
1227 WINDING OAKS LN, MASCOUTAH, IL 62258-1635
(618) 566-4100
Mailing address
1700B S HUDSON AVE, AURORA, MO 65605-2717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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