Organization
DEDICATED MISSOURI HOLDING, LLC
Active
Parent organization
DEDICATED MISSOURI HOLDING, LLC
Other names
DEDICATED SENIOR MEDICAL CENTER NORTH ST. LOUIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED MISSOURI HOLDING, LLC
Authorized official
MARY CHEN (OWNER)
(305) 628-6117
Entity
Organization
Contact information
Practice address
175 N OAKS PLZ, SAINT LOUIS, MO 63121-2925
(314) 328-0144
Mailing address
1395 NE 167TH ST, MIAMI, FL 33162-2744
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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