Organization
ADMINISTRATIVE SUPPORT SERVICES, INC
Active
Other names
West Pine Medical
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI DENNIS (OFFICER)
(480) 396-8355
Entity
Organization
Contact information
Practice address
5535 DELMAR BLVD, SUITE W-219, SAINT LOUIS, MO 63112-3005
(314) 367-5622
Mailing address
4579 LACLEDE AVE # 229, SAINT LOUIS, MO 63108-2103
(314) 367-5622
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
I372802
MO
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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