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Medicl Facility ID: 10772909891960806865

Facility Business Name: DAVITA BOWLES AVENUE DIALYSIS ( FENTON, MO )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id10772909891960806865
Facility NameDAVITA BOWLES AVENUE DIALYSIS
Address Line1011 Bowles Avenue Suite 210
CityFENTON
StateMO
Zip63026
CountySaint Louis
Phone636-326-7130
TypeDialysis Facility
Provider Id262649