Srz Op Ballwin LLC

NPI #1740770494 in Wildwood, Missouri

Provider Information

NPI Number
1740770494
Entity Type
Organization
Organization Name
Srz Op Ballwin LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SRZ OP HOLDINGS LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 17, 2018
Last Updated
May 17, 2018

Practice Location

Address
1441 CHARIC DR
ZIP Code
63021
Phone
(636) 394-2522

Authorized Official

Name
SAMUEL GOLDNER
Title
AUTHORIZED PERSON/OFFICIAL
Phone
(347) 677-0448

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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