Specialized Wound Management Great Lakes, Llc in St Charles - Skilled Nursing Facility
Specialized Wound Management Great Lakes, Llc - NPI 1760536387
Specialized Wound Management Great Lakes, Llc is a Skilled Nursing Facility in St Charles, Missouri. Specialized Wound Management Great Lakes, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Specialized Wound Management Great Lakes, Llc is 1760536387. The last update date is 2020-08-22.
Specialized Wound Management Great Lakes, Llc's current location address is 2500 Executive Drive, St Charles, Missouri. You can contact this provider via phone number 6364472509 and fax number 6364473095. The mailing address for Specialized Wound Management Great Lakes, Llc is 2500 Executive Drive, St Charles, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Specialized Wound Management Great Lakes, Llc |
|---|---|
| Address | 2500 Executive Drive, St Charles, Missouri |
| Phone Number | 6364472509 |
| Fax Number | 6364473095 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Kelley Steven |
| Telephone Number | 6364472509 |
NPI Number Detail
| NPI Number | 1760536387 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2500 Executive Drive |
|---|---|
| City | St Charles |
| State | Missouri (MO) |
| Post Code | 63303 |
| Phone Number | 6364472509 |
| Fax Number | 6364473095 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique 10-digit identification code assigned to Specialized Wound Management Great Lakes, Llc by the Centers for Medicare & Medicaid Services?
The Specialized Wound Management Great Lakes, Llc has been issued the NPI (National Provider Identifier) 1760536387, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Specialized Wound Management Great Lakes, Llc's facilities are geographically located?
The facilities of Specialized Wound Management Great Lakes, Llc are physically situated at the following location: 2500 Executive Drive, St Charles, MO, 63303.
What is Specialized Wound Management Great Lakes, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Specialized Wound Management Great Lakes, Llc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
When did the Specialized Wound Management Great Lakes, Llc receive its 1760536387?
The Specialized Wound Management Great Lakes, Llc was issued its 1760536387 on 2007-01-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Specialized Wound Management Great Lakes, Llc last refreshed?
The information related to the Specialized Wound Management Great Lakes, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.