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Easter Seals Midwest
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hazelwood, Missouri
NPI 1629100342

Easter Seals Midwest is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Ballwin, MO. Easter Seals Midwest practices in Hazelwood, MO. The NPI Number for Easter Seals Midwest is 1629100342 and holds a License No. (Missouri).

The current practice location address for Easter Seals Midwest is 833 Townhouse, Hazelwood, MO and can be reached out via phone at 314-394-7100 and via fax at 314-394-4007.

Location: 833 Townhouse, Hazelwood, MO, 63021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629100342
Provider Name
Easter Seals Midwest
Credential
Provider Entity Type
Organization
Address
833 Townhouse, Hazelwood, MO, 63021
Phone Number
314-394-7100
Fax Number
314-394-4007
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
855266607 05 MO
institution
Provider Business Practice Location Address Details
Address
833 Townhouse
City
Hazelwood
State
Missouri
Zip
63042
Phone Number
314-394-7100
Fax Number
314-394-4007
person
Provider Business Mailing Address Details
Address
833 Townhouse
City
Hazelwood
State
Missouri
Zip
63042
Phone Number
314-394-7100
Fax Number
314-394-4007
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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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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