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

St. Louis Arc - NPI 1689850935

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 1689850935. 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 1689850935
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
856161807 MO --

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FAQs about St. Louis Arc

What is the St. Louis Arc's unique identification number?

The St. Louis Arc has been assigned the NPI (National Provider Identifier) Number 1689850935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where St. Louis Arc is located?

The St. Louis Arc is situated at the following address: 1816 Lackland Hill Pkwy, Saint Louis, MO, 631463507.

What is St. Louis Arc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

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

On what date did the Centers for Medicare & Medicaid Services originally issue the 1689850935 to St. Louis Arc?

The Centers for Medicare & Medicaid Services originally issued the 1689850935 to St. Louis Arc 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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