Organization · Type 2 NPI

Advance Wellness Group LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · St. Louis, MO

NPI number 1093514200 Active

Practice location

7915 Olive Blvd
St. Louis, MO 63130-2020

Fax (314) 453-3897

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Foster Care Agency	253J00000X	None listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	None listed
Physical Disabilities Residential Treatment Facility	320700000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed
Respite Care	385H00000X	None listed
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

3 other providers at this address

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About NPI 1093514200

Advance Wellness Group LLC's National Provider Identifier is 1093514200, issued on Mar 10, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in St. Louis, MO. The record was last updated on May 8, 2025.