St. Louis Arc in Saint Louis - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

St. Louis Arc - NPI 1467638726

St. Louis Arc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Saint Louis, Missouri. St. Louis Arc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for St. Louis Arc is 1467638726. The last update date is 2008-01-17.

St. Louis Arc's current location address is 1816 Lackland Hill Pkwy, Saint Louis, Missouri. You can contact this provider via phone number 3145692211. The mailing address for St. Louis Arc is 1816 Lackland Hill Pkwy, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization St. Louis Arc
Address 1816 Lackland Hill Pkwy, Saint Louis, Missouri
Phone Number 3145692211
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP OF OPER
Authorized Official Name Tisone Anne Kathleen
Telephone Number 3145692211

NPI Number Detail

NPI Number 1467638726
Provider Enumeration Date 2008-01-17
Last Updated Date 2008-01-17

Provider Mailing Address Detail

Address 1816 Lackland Hill Pkwy
City Saint Louis
State Missouri (MO)
Post Code 631463507
Phone Number 3145692211
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No 103091
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
856160809 MO --

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FAQs about St. Louis Arc

What is the unique identification code assigned to St. Louis Arc by the Centers for Medicare & Medicaid Services?

The St. Louis Arc has been issued the NPI (National Provider Identifier) 1467638726. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the St. Louis Arc's physical address?

The St. Louis Arc is physically located at 1816 Lackland Hill Pkwy, in the city of Saint Louis, MO, with the postal code 631463507.

What is the area of specialization for St. Louis Arc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for St. Louis Arc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1467638726 to St. Louis Arc?

The St. Louis Arc received its 1467638726 assignment from the Centers for Medicare & Medicaid Services on 2008-01-17.

When was the information related to St. Louis Arc most recently updated or refreshed?

The details pertaining to the St. Louis Arc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-17.

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