Organization
SAN FRANCISCO TEMPLE MULTIPLEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YVONNE CECELIA HENDERSON R.N. (ASSISTANT ADMINISTRATOR)
(314) 383-4863
Entity
Organization
Contact information
Practice address
5341 EMERSON AVE, SAINT LOUIS, MO 63120-2511
(314) 383-4863
(314) 381-4255
Mailing address
5341 EMERSON AVE, SAINT LOUIS, MO 63120-2511
(314) 383-4863
(314) 381-4255
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
392
MO
Other
Enumeration date
06/05/2007
Last updated
04/01/2008
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