Life Development Support Centers in Saint Louis - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Life Development Support Centers - NPI 1750406948
Life Development Support Centers is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Saint Louis, Missouri. Life Development Support Centers practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Life Development Support Centers is 1750406948. The last update date is 2020-08-22.
Life Development Support Centers's current location address is 12259-61 Bellefontaine Road, Saint Louis, Missouri. You can contact this provider via phone number 3146536882 and fax number 3146536420. The mailing address for Life Development Support Centers is 12259-61 Bellefontaine Road, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Development Support Centers |
|---|---|
| Address | 12259-61 Bellefontaine Road, Saint Louis, Missouri |
| Phone Number | 3146536882 |
| Fax Number | 3146536420 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Harris L. Joanna |
| Telephone Number | 3146536882 |
NPI Number Detail
| NPI Number | 1750406948 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12259-61 Bellefontaine Road |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 63138 |
| Phone Number | 3146536882 |
| Fax Number | 3146536420 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
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Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique provider identifier assigned to Life Development Support Centers?
The Life Development Support Centers has been issued the NPI (National Provider Identifier) 1750406948 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Life Development Support Centers?
The Life Development Support Centers is physically situated at 12259-61 Bellefontaine Road, in the city of Saint Louis, state of MO, with the postal code 63138.
What is the Life Development Support Centers's specialty and taxonomy code?
The Life Development Support Centers's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750406948 to Life Development Support Centers?
The Life Development Support Centers received its 1750406948 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date was the information regarding Life Development Support Centers, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Life Development Support Centers, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.