| Safe Transitions LLC | |
|
452 Sovereign Ct Ste A Ballwin MO 63011-4447 | |
| (914) 376-6100 | |
| (914) 470-5056 |
| Full Name | Safe Transitions LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 452 Sovereign Ct Ste A, Ballwin, Missouri |
| Authorized Official Name and Position | Radwan Malas (PRACTICE MANAGER) |
| Authorized Official Contact | 9143766100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Transitions LLC 452 Sovereign Ct Ste A Ballwin MO 63011-4447 Ph: (914) 376-6100 | Safe Transitions LLC 452 Sovereign Ct Ste A Ballwin MO 63011-4447 Ph: (914) 376-6100 |
| NPI Number | 1073160370 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073160370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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