NPI 1134506611

Department of Veterans Affairs

Organisation Rehabilitation Hospital Unit Saint Louis, MO

Practice location

Address: 915 N Grand Blvd, Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Fax: (314) 845-5077

Authorised official

Name: Asifa Sufi
Title: Chief Pmrs
Phone: (314) 652-4100

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X Licence 2003011966 (MO)

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Registry record

NPI: 1134506611
Entity type: Organization
NPI issued: 4 May 2015
Record last updated: 4 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.