institution
Mediequip, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, Missouri
NPI 1285057307

Mediequip, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Saint Louis, MO. Mediequip, Inc. practices in Saint Louis, MO. The NPI Number for Mediequip, Inc. is 1285057307 and holds a License No. 16575571 (Missouri).

The current practice location address for Mediequip, Inc. is 12852 Manchester Rd, Saint Louis, MO and can be reached out via phone at 314-965-9300 and via fax at 314-965-5487.

Location: 12852 Manchester Rd, Saint Louis, MO, 63131-1803
institution
Provider Profile Details
NPI Number
1285057307
Provider Name
Mediequip, Inc.
Credential
Provider Entity Type
Organization
Address
12852 Manchester Rd, Saint Louis, MO, 63131-1803
Phone Number
314-965-9300
Fax Number
314-965-5487
Provider Enumeration Date
01/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
629730508 05 MO
institution
Provider Business Practice Location Address Details
Address
12852 Manchester Rd
City
State
Zip
63131-1803
Phone Number
314-965-9300
Fax Number
314-965-5487
person
Provider Business Mailing Address Details
Address
12852 Manchester Rd
City
State
Zip
63131-1803
Phone Number
314-965-9300
Fax Number
314-965-5487
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
16575571 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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