STATE OF MISSOURI

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1760553101

Practice Address

10695 BELLEFONTAINE RD
Saint Louis, MO 63137

Phone: (314) 340-6000

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes EXEMPT (MO)

Frequently Asked Questions

NPI 1760553101 is the National Provider Identifier for STATE OF MISSOURI, a Intermediate Care Facility, Intellectual Disabilities provider located in Saint Louis, MO. This NPI was enumerated on November 9, 2006.

Quick Facts

NPI
1760553101
Type
Organization
Enumerated
Nov 9, 2006
Last Updated
Oct 20, 2020

Nearby Providers