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

St. Louis Arc - NPI 1811173172

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 1811173172. 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 VICE PRESI
Authorized Official Name Tisone Anne Kathleen
Telephone Number 3145692211

NPI Number Detail

NPI Number 1811173172
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
856161708 MO --

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FAQs about St. Louis Arc

What is the unique 10-digit 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) 1811173172, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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 area of expertise and its corresponding taxonomy classification?

The St. Louis Arc's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1811173172 to St. Louis Arc?

The Centers for Medicare & Medicaid Services assigned the 1811173172 to St. Louis Arc on 2008-01-17.

As of what date were the St. Louis Arc's details last updated?

The information pertaining to the St. Louis Arc, including its address, specialty, and other details, was most recently updated on 2008-01-17.

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