St Charles Opco LLC
NPI #1528748324 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1528748324
- Entity Type
- Organization
- Organization Name
- St Charles Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 18, 2023
- Last Updated
- Jul 31, 2023
Practice Location
- Address
- 2150 W RANDOLPH ST
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63301-0844
- Phone
- (636) 946-4966
Authorized Official
- Name
- JOSEPH C TUTERA
- Title
- MANAGER
- Phone
- (816) 444-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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