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Gibson White Drake Llc
Health Service Clinic/Center in Bridgeton, Missouri
NPI 1043812548

Gibson White Drake Llc is a Health Service Clinic/Center based in Bridgeton, MO and is specialized in Health Service. Gibson White Drake Llc practices in Bridgeton, MO. The NPI Number for Gibson White Drake Llc is 1043812548 and holds a License No. (Missouri).

The current practice location address for Gibson White Drake Llc is 11423 Saint Charles Rock Rd, Bridgeton, MO and can be reached out via phone at 314-246-9852.

Location: 11423 Saint Charles Rock Rd, Bridgeton, MO, 63044-2724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043812548
Provider Name
Gibson White Drake Llc
Credential
Provider Entity Type
Organization
Address
11423 Saint Charles Rock Rd, Bridgeton, MO, 63044-2724
Phone Number
314-246-9852
Fax Number
Provider Enumeration Date
11/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11423 Saint Charles Rock Rd
City
Bridgeton
State
Missouri
Zip
63044-2724
Phone Number
314-246-9852
Fax Number
person
Provider Business Mailing Address Details
Address
11423 Saint Charles Rock Rd
City
Bridgeton
State
Missouri
Zip
63044-2724
Phone Number
314-246-9852
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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