| |
2165 Highway V, Saint Charles, MO 63301-6004 | |
(636) 250-5000 | |
(636) 250-5444 |
Full Name | |
---|---|
Type | Facility |
Speciality | Local Education Agency (lea) |
Location | 2165 Highway V, Saint Charles, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720204654 | NPI | - | NPPES |
506080001 | Medicaid | MO |
Mailing Address | Practice Location Address |
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2135 Highway V, Saint Charles, MO 63301-6004 Ph: (636) 250-5000 | 2165 Highway V, Saint Charles, MO 63301-6004 Ph: (636) 250-5000 |