Organization
JPAM CARE & REHABILITATION CENTER, INC
Active
Other names
SISTERS MISSION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRENCICK (PRESIDENT)
(314) 374-7419
Entity
Organization
Contact information
Practice address
3225 N FLORISSANT AVE, SAINT LOUIS, MO 63107-3521
(314) 374-7419
Mailing address
12832 BIG BEND RD, SAINT LOUIS, MO 63122-5104
(314) 374-7419
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K204221020
DRIVERS LICENSE
MO
Enumeration date
09/05/2019
Last updated
09/05/2019
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