Organization
SLSSC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY ROM (PRESIDENT)
(513) 561-8900
Entity
Organization
Contact information
Practice address
633 EMERSON RD, SUITE 160, CREVE COEUR, MO 63141-6739
(618) 535-0851
Mailing address
633 EMERSON RD, SUITE 160, CREVE COEUR, MO 63141-6739
(618) 535-0851
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
04/20/2012
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