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Gray Matters Alliance Llc
Customized Equipment (DME) in O Fallon, Missouri
NPI 1477112092

Gray Matters Alliance Llc is a Customized Equipment (DME) based in O Fallon, MO and is specialized in Customized Equipment. Gray Matters Alliance Llc practices in O Fallon, MO. The NPI Number for Gray Matters Alliance Llc is 1477112092 and holds a License No. (Missouri).

The current practice location address for Gray Matters Alliance Llc is 112 W Pitman St, O Fallon, MO and can be reached out via phone at 314-322-3875.

Location: 112 W Pitman St, O Fallon, MO, 63366-2819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477112092
Provider Name
Gray Matters Alliance Llc
Credential
Provider Entity Type
Organization
Address
112 W Pitman St, O Fallon, MO, 63366-2819
Phone Number
314-322-3875
Fax Number
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 W Pitman St
City
O Fallon
State
Missouri
Zip
63366-2819
Phone Number
314-322-3875
Fax Number
person
Provider Business Mailing Address Details
Address
112 W Pitman St
City
O Fallon
State
Missouri
Zip
63366-2819
Phone Number
314-322-3875
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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