STATE OF MISSOURI

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1770866030

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 -

Frequently Asked Questions

NPI 1770866030 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 September 23, 2011.

Quick Facts

NPI
1770866030
Type
Organization
Enumerated
Sep 23, 2011
Last Updated
Oct 27, 2020

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