| Organization Name: | NRA ST. LOUIS HOME THERAPY CENTER MISSOURI LLC |
| NPI Number: | 1396943486 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK R. FAWCETT (TREASURER) |
| Mailing Address: | 10435 Clayton Rd Suite 201 Frontenac |
| State: | MO US |
| Postal Code: | 631312931 |
| Phone Number: | 6157714400 |
| Fax Number: | 6157714401 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 08/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | NOT APPLICABLE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |