State Of Missouri - Saint Louis, MO

State Of Missouri

Intellectual Disabilities Intermediate Care Facility in Saint Louis, Missouri

NPI 1194933499

State Of Missouri is a Intellectual Disabilities Intermediate Care Facility based in Jefferson City, MO. State Of Missouri practices in Saint Louis, MO. The NPI Number for State Of Missouri is 1194933499 and holds a License No. (Missouri).

The current practice location address for State Of Missouri is 2312 Lemay Ferry Rd, Saint Louis, MO and can be reached out via phone at 314-894-5400.

Location: 2312 Lemay Ferry Rd, Saint Louis, MO, 65101-4130

NPI Number

1194933499

Provider Name

State Of Missouri

Credential

Provider Entity Type

Organization

Address

2312 Lemay Ferry Rd, Saint Louis, MO, 65101-4130

Phone Number

314-894-5400

Fax Number

Provider Enumeration Date

05/18/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
051780104	05	MO

Address

2312 Lemay Ferry Rd

City

Saint Louis

State

Missouri

Zip

63125-3127

Phone Number

314-894-5400

Fax Number

Address

2312 Lemay Ferry Rd

City

Saint Louis

State

Missouri

Zip

63125-3127

Phone Number

314-894-5400

Fax Number

Type

Nursing & Custodial Care Facilities

Classification

Intermediate Care Facility, Mentally Retarded

Speciality

Taxonomy

315P00000X

License No.

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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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