Provider Demographics
NPI:1417535345
Name:MONIE CHRISTO, LLC
Entity Type:Organization
Organization Name:MONIE CHRISTO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-721-3327
Mailing Address - Street 1:2480 LAMPONG DR APT 100C
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-3145
Mailing Address - Country:US
Mailing Address - Phone:314-305-8294
Mailing Address - Fax:314-916-9001
Practice Address - Street 1:9378 OLIVE BLVD STE 306
Practice Address - Street 2:
Practice Address - City:OLIVETTE
Practice Address - State:MO
Practice Address - Zip Code:63132-3215
Practice Address - Country:US
Practice Address - Phone:314-305-8294
Practice Address - Fax:314-916-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health