Grace Hill Neighborhood Health Ctr
Grace Hill Neighborhood Health Ctr provides Pediatric Nutrition Registered Dietitian services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.
- Licensed in
- MO
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
2220 Lemp AveSaint Louis, MO 63104-2700 Not confirmed with CMS for 17 years — call before visiting
Phone: (314) 814-8556
Fax: (314) 814-8542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nutrition Registered Dietitian (primary) | Taxonomy 133VN1004X · Licence 2009014930 (MO) |
|---|---|
| Local Education Agency (LEA) | Taxonomy 251300000X |
Record details
| NPI number | 1295068757 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Lucca — Licensed Dietitian · (314) 814-8556 |
| NPI enumerated | September 15, 2009 |
| Last updated in NPPES | September 15, 2009 |
| Mailing address | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
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