Organization
MISSOURI ONE OPCO LLC
Active
Other names
Fountain Care at Sunset Hills
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM KOFMAN (MANAGER)
(917) 533-4361
Entity
Organization
Contact information
Practice address
10954 KENNERLY RD, SAINT LOUIS, MO 63128-2018
(314) 843-4242
(314) 843-4031
Mailing address
10954 KENNERLY RD, SAINT LOUIS, MO 63128-2018
(314) 843-4242
(314) 843-4031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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