Lessie Bates Davis Neighborhood House
NPI #1790156610 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1790156610
- Entity Type
- Organization
- Organization Name
- Lessie Bates Davis Neighborhood House
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 19, 2015
- Last Updated
- Oct 19, 2015
Practice Location
- Address
- 1200 NORTH 13TH STREET
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62205
- Phone
- (618) 874-0777
Authorized Official
- Name
- MR. CHRISTOPHER K COLEMAN, BSHR, MBA
- Title
- SR. VICE PRESIDENT
- Phone
- (618) 874-0777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Occupational Therapist |
| Audiologist |
| Nurse's Aide |
| Physical Therapist |
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