institution
Full Potential Residential Services, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, Missouri
NPI 1730337114

Full Potential Residential Services, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Florissant, MO. Full Potential Residential Services, Llc practices in Saint Louis, MO. The NPI Number for Full Potential Residential Services, Llc is 1730337114 and holds a License No. 2006031224 (Missouri).

The current practice location address for Full Potential Residential Services, Llc is 8208 Page Ave, Saint Louis, MO and can be reached out via phone at 314-839-9157 and via fax at 314-839-9157.

Location: 8208 Page Ave, Saint Louis, MO, 63033-1736
institution
Provider Profile Details
NPI Number
1730337114
Provider Name
Full Potential Residential Services, Llc
Credential
Provider Entity Type
Organization
Address
8208 Page Ave, Saint Louis, MO, 63033-1736
Phone Number
314-839-9157
Fax Number
314-839-9157
Provider Enumeration Date
08/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8208 Page Ave
City
State
Zip
63130-1115
Phone Number
314-839-9157
Fax Number
314-839-9157
person
Provider Business Mailing Address Details
Address
8208 Page Ave
City
State
Zip
63130-1115
Phone Number
314-839-9157
Fax Number
314-839-9157
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.
2006031224 (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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