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Phar, Llc
Assisted Living Facility in Herculaneum, Missouri
NPI 1801039524

Phar, Llc is an Assisted Living Facility based in Skokie, MO. Phar, Llc practices in Herculaneum, MO. The NPI Number for Phar, Llc is 1801039524 and holds a License No. 037148 (Missouri).

The current practice location address for Phar, Llc is 300 Autumn Ridge Drive, Herculaneum, MO and can be reached out via phone at 636-931-8400 and via fax at 636-933-3975.

Location: 300 Autumn Ridge Drive, Herculaneum, MO, 60077-3214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801039524
Provider Name
Phar, Llc
Credential
Provider Entity Type
Organization
Address
300 Autumn Ridge Drive, Herculaneum, MO, 60077-3214
Phone Number
636-931-8400
Fax Number
636-933-3975
Provider Enumeration Date
04/10/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
M266744705 05 MO
institution
Provider Business Practice Location Address Details
Address
300 Autumn Ridge Drive
City
Herculaneum
State
Missouri
Zip
63048-1505
Phone Number
636-931-8400
Fax Number
636-933-3975
person
Provider Business Mailing Address Details
Address
300 Autumn Ridge Drive
City
Herculaneum
State
Missouri
Zip
63048-1505
Phone Number
636-931-8400
Fax Number
636-933-3975
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
037148 (Missouri)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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