Organization
CATHEDRAL GARDENS CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CHUKUKERE L.P.N. (MDS COORDINATOR)
(314) 355-8585
Entity
Organization
Contact information
Practice address
2600 REDMAN RD, SAINT LOUIS, MO 63136-5863
(314) 355-8585
(314) 355-4645
Mailing address
2600 REDMAN RD, SAINT LOUIS, MO 63136-5863
(314) 355-8585
(314) 355-4645
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031388
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18697
FAC. ID
MO
Enumeration date
09/16/2005
Last updated
08/22/2020
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