Ccm Operations, LLC
Skilled Nursing Facility in Saint Louis, MO. Organization (NPI-2).
NPI number1942829692
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1942829692
- Entity type
- Organization (NPI-2)
- Legal business name
- Ccm Operations, LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2020
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Creve Coeur Manor (Doing Business As)
Practice location
1127 Timber Run DrSaint Louis, MO 63146-4482
Phone 314-434-8361
Mailing address
1 University Plz Ste 500Hackensack, NJ 07601-6203
Phone 201-470-5751
Authorized official
Benjamin M Klein
Authorized Person
2014705751
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