Organization
DUTCHTOWN CARE CENTER INC
Active
Other names
DUTCHTOWN CARE AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILY LANDY (ADMINISTRATOR)
(314) 832-4700
Entity
Organization
Contact information
Practice address
3421 GASCONADE ST, SAINT LOUIS, MO 63118-4201
(314) 832-4700
(314) 832-7177
Mailing address
3421 GASCONADE ST, SAINT LOUIS, MO 63118-4201
(314) 832-4700
(314) 832-7177
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030951
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108598707
—
MO
01
—
113207
BLUE CROSS BLUE SHIELD
MO
01
—
7184988
UNITED HEALTHCARE
MO
Enumeration date
06/13/2005
Last updated
06/24/2008
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