Organization
CARESTL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA RENEE ARCHIBALDCLABON (CHIEF EXECUTIVE OFFICER)
(314) 367-5820
Entity
Organization
Contact information
Practice address
7047 EMMA AVE, JENNINGS, MO 63136
(314) 653-8070
(314) 653-8075
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
06/06/2018
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