institution
Nra-st. Louis (home Therapy Center), Missouri, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Frontenac, Missouri
NPI 1396943486

Nra-st. Louis (home Therapy Center), Missouri, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Frontenac, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-st. Louis (home Therapy Center), Missouri, Llc practices in Frontenac, MO. The NPI Number for Nra-st. Louis (home Therapy Center), Missouri, Llc is 1396943486 and holds a License No. NOT APPLICABLE (Missouri).

The current practice location address for Nra-st. Louis (home Therapy Center), Missouri, Llc is 10435 Clayton Rd, Frontenac, MO and can be reached out via phone at 314-567-0645 and via fax at 314-989-0986.

Location: 10435 Clayton Rd, Frontenac, MO, 63131-2931
institution
Provider Profile Details
NPI Number
1396943486
Provider Name
Nra-st. Louis (home Therapy Center), Missouri, Llc
Credential
Provider Entity Type
Organization
Address
10435 Clayton Rd, Frontenac, MO, 63131-2931
Phone Number
314-567-0645
Fax Number
314-989-0986
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 MO MEDICARE PART A CCN
PENDING 01 MO CLIA CERTIFICATE OF WAIVE
PENDING 05 MO
institution
Provider Business Practice Location Address Details
Address
10435 Clayton Rd
City
State
Zip
63131-2931
Phone Number
314-567-0645
Fax Number
314-989-0986
person
Provider Business Mailing Address Details
Address
10435 Clayton Rd
City
State
Zip
63131-2931
Phone Number
314-567-0645
Fax Number
314-989-0986
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
NOT APPLICABLE (Missouri)
Definition
Definition to come...
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