Organization
MILLENNIUM MANAGEMENT & CONSULTING, INC.
Active
Other names
OAK KNOLL NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRENCICK (ADMINISTRATOR)
(314) 374-7419
Entity
Organization
Contact information
Practice address
37 N CLARK AVE, SAINT LOUIS, MO 63135-2323
(314) 521-7419
(314) 521-6889
Mailing address
37 N CLARK AVE, SAINT LOUIS, MO 63135-2323
(314) 521-7419
(314) 521-6889
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
O31149
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108713900
—
MO
Enumeration date
08/15/2006
Last updated
06/17/2009
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