Provider First Line Business Practice Location Address:
SELECT SPECIALTY HOSPITAL TOWN AND COUNTRY
Provider Second Line Business Practice Location Address:
3015 N BALLAS RD
Provider Business Practice Location Address City Name:
ST LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-996-6500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2024