LACLEDE GROVES is a licensed practical nurse in Saint Louis, MO. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. LACLEDE GROVES NPI is 1457924755. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
727 S LACLEDE STATION RD
SAINT LOUIS, MO
ZIP 63119-911
Phone: (314) 446-2462
Fax: (314) 446-2397
The provider's authorized official is Otha Thomas .
The authorized official title is Director Of Health Services and has the following contact phone number (314) 446-2462.
The CLIA number assigned to this NPI record is 26D2072865 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/23/2021 and was last updated on 7/23/2021.