Organization
JPAM MANAGEMENT & CONSULTING INC
Active
Other names
AVALON GARDEN
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRENCICK (PRESIDENT)
(314) 374-7419
Entity
Organization
Contact information
Practice address
4359 TAFT AVE, SAINT LOUIS, MO 63116-1533
(314) 752-2022
Mailing address
12844 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
05
—
104650205
—
MO
Enumeration date
09/29/2008
Last updated
08/14/2009
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