Organization
LONG TERM CARE OF NORTH COUNTY LLC
Active
Organization
LONG TERM CARE OF NORTH COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY COLETTE SCHMIDT MD (OWNER)
(314) 922-4048
Entity
Organization
Contact information
Practice address
4401 PARKER RD, BLACK JACK, MO 63033-4266
(314) 312-0720
Mailing address
PO BOX 611, FLORISSANT, MO 63032-0611
(314) 312-0720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2017
Last updated
12/22/2023
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