Grace Hill Neighborhood Health Ctr
Organization Active NPI Pediatric Nutrition Registered Dietitian · Saint Louis, MO
NPI 1295068757 · NPPES record last updated Sep 15, 2009
Key facts
- NPI
- 1295068757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Nutrition Registered Dietitian 133VN1004X
- License
- 2009014930 (MO)
- Legal business name
- GRACE HILL NEIGHBORHOOD HEALTH CTR
- Practice address
- 2220 Lemp Ave
Saint Louis, MO 63104-2700 - Phone
- (314) 814-8556
- Fax
- (314) 814-8542
- NPI assigned
- Sep 15, 2009
- Organization subpart
- No
Authorized official
- Name
- Mary Lucca
- Title
- Licensed Dietitian
- Phone
- (314) 814-8556
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Affinia Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian |
133VN1004X | 2009014930 | MO | Yes |
| Local Education Agency (LEA) | 251300000X |
Addresses
Primary practice location
2220 Lemp Ave
Saint Louis, MO 63104-2700
Mailing address
2220 Lemp Ave
Saint Louis, MO 63104-2700
Phone (314) 814-8556
Other providers in Saint Louis, MO
- Andrew Micah Grabowski
- Grace Haven Home Care LLC
- Grace Hill Health Centers Inc
- Grace Hill Health Centers, Inc.
- Grace Hill Neighborhood Health Center Inc,
- Grace Oropesa
- Emily Grace
- Shane A Grace
- Graceful Gateway Transportation LLC
- Graceful Living Home Health LLC
All providers in Saint Louis, MO · Pediatric Nutrition Registered Dietitian in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.