Organization · Type 2 NPI

The Estates of Spanish Lake, LLC

Skilled Nursing Facility · St. Louis, MO

NPI number 1053715995 Active

Practice location

610 Prigge Rd
St. Louis, MO 63138-3543

Mailing address

5940 W Touhy Ave, Ste 350
Niles, IL 60714-4638

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1053715995

The Estates of Spanish Lake, LLC's National Provider Identifier is 1053715995, issued on Oct 21, 2014. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 9, 2016.