State Of Missouri - Saint Louis, MO

State Of Missouri

Intellectual Disabilities Intermediate Care Facility in Saint Louis, Missouri

NPI 1770866030

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 1770866030 and holds a License No. (Missouri).

The current practice location address for State Of Missouri is 10695 Bellefontaine Rd, Saint Louis, MO and can be reached out via phone at 314-340-6000 and via fax at 314-340-6199.

Location: 10695 Bellefontaine Rd, Saint Louis, MO, 65102-0687

NPI Number

1770866030

Provider Name

State Of Missouri

Credential

Provider Entity Type

Organization

Address

10695 Bellefontaine Rd, Saint Louis, MO, 65102-0687

Phone Number

314-340-6000

Fax Number

314-340-6199

Provider Enumeration Date

09/23/2011

Last Update Date

03/09/2024

Address

10695 Bellefontaine Rd

City

Saint Louis

State

Missouri

Zip

63137-2315

Phone Number

314-340-6000

Fax Number

314-340-6199

Address

10695 Bellefontaine Rd

City

Saint Louis

State

Missouri

Zip

63137-2315

Phone Number

314-340-6000

Fax Number

314-340-6199

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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