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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