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NPI Code Detail

MEDICARE: THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN

MEDICARE: THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1164255568
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN
Provider Business Mailing Address
First Line : 11365 DORSETT RD
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3411
Country : US
Telephone Number : 314-872-6400
Fax Number :
Provider Business Practice Location Address
First Line : 11365 DORSETT RD
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3411
Country : US
Telephone Number : 314-872-6400
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. SHAWN DRYDEN
Credential :
Telephone Number : 314-872-6406
Provider Enumeration Date : 08/21/2024
Last Update Date : 03/05/2026

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Directions to “THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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