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Contact Information

STACEY DAQUILA
850 COUNTRY MANOR LN
CREVE COEUR, MO63141-6651
 Phone: 314-434-5900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1356686570
Entity Organization
Organization subpart 1 Not specified
Enumeration date 11/28/2012
Last updated 02/20/2019 - About 7 years ago
Identifiers
MO License # 2001025320
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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