institution
Magdala Foundation
Intellectual Disabilities Intermediate Care Facility in Saint Louis, Missouri
NPI 1073771358

Magdala Foundation is a Intellectual Disabilities Intermediate Care Facility based in Saint Louis, MO. Magdala Foundation practices in Saint Louis, MO. The NPI Number for Magdala Foundation is 1073771358 and holds a License No. 2452 10041 (Missouri).

The current practice location address for Magdala Foundation is 3117 Maury Ave, Saint Louis, MO and can be reached out via phone at 314-652-6004 and via fax at 314-652-8351.

Location: 3117 Maury Ave, Saint Louis, MO, 63108-2914
institution
Provider Profile Details
NPI Number
1073771358
Provider Name
Magdala Foundation
Credential
Provider Entity Type
Organization
Address
3117 Maury Ave, Saint Louis, MO, 63108-2914
Phone Number
314-652-6004
Fax Number
314-652-8351
Provider Enumeration Date
05/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112364500 05 MO
institution
Provider Business Practice Location Address Details
Address
3117 Maury Ave
City
State
Zip
63116-2021
Phone Number
314-652-6004
Fax Number
314-652-8351
person
Provider Business Mailing Address Details
Address
3117 Maury Ave
City
State
Zip
63116-2021
Phone Number
314-652-6004
Fax Number
314-652-8351
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
2452 10041 (Missouri)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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