St. Louis Arc in Saint Louis - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
St. Louis Arc - NPI 1679759922
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 1679759922. 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 and fax number 3145690778. 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 | 3145690778 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OPERATI |
|---|---|
| Authorized Official Name | Tisone Anne Kathleen |
| Telephone Number | 3145692211 |
NPI Number Detail
| NPI Number | 1679759922 |
|---|---|
| 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 | 3145690778 |
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 |
|---|---|---|---|
| 856161609 | MO | -- |
Post Comment/ Review Below
What is the St. Louis Arc's 1679759922?
The St. Louis Arc's NPI (National Provider Identifier) Number is 1679759922. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where St. Louis Arc's facilities are situated?
The facilities of St. Louis Arc are physically located at the following address: 1816 Lackland Hill Pkwy, Saint Louis, MO, 631463507.
What is the St. Louis Arc's specialty and taxonomy code?
The St. Louis Arc'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 1679759922 to St. Louis Arc?
The St. Louis Arc received its 1679759922 assignment from the Centers for Medicare & Medicaid Services on 2008-01-17.
When was the St. Louis Arc's information last updated?
The St. Louis Arc's information was last updated on 2008-01-17.
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