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St. Louis Arc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hazelwood, Missouri
NPI 1669658910

St. Louis Arc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Saint Louis, MO. St. Louis Arc practices in Hazelwood, MO. The NPI Number for St. Louis Arc is 1669658910 and holds a License No. 103091 (Missouri).

The current practice location address for St. Louis Arc is 714 Carriage Ln, Hazelwood, MO and can be reached out via phone at 314-817-2207.

Location: 714 Carriage Ln, Hazelwood, MO, 63132-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669658910
Provider Name
St. Louis Arc
Credential
Provider Entity Type
Organization
Address
714 Carriage Ln, Hazelwood, MO, 63132-1810
Phone Number
314-817-2207
Fax Number
Provider Enumeration Date
01/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
852998301 05 MO
institution
Provider Business Practice Location Address Details
Address
714 Carriage Ln
City
Hazelwood
State
Missouri
Zip
63042-3452
Phone Number
314-817-2207
Fax Number
person
Provider Business Mailing Address Details
Address
714 Carriage Ln
City
Hazelwood
State
Missouri
Zip
63042-3452
Phone Number
314-817-2207
Fax Number
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.
103091 (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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