Gloria Patrick

LBN: N/A
Gloria Patrick is an health care organization with primary practice located at 1318 Pennsylvania Ave , Saint Louis MO 63133-1036. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. N/A can be contacted via phone (314) 401-1466, or through Patrick, Gloria Jean via phone (314) 401-1466.

Contact Information

Primary practice address
1318 Pennsylvania Ave Saint Louis MO 63133-1036
Phone: (314) 401-1466
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patrick, Gloria Jean
Phone: (314) 401-1466

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 07397218 Missouri
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 07397218 Missouri
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 07397218 Missouri

Profile Details

NPI number 1861782898
LBN Legal business name N/A
DBA Doing business as Gloria Patrick
Authorized official Patrick, Gloria Jean
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2011
Last updated Apr 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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