Organization · Type 2 NPI
Garden Villas of South County, Inc.
Assisted Living Facility · St. Louis, MO
NPI number
1104235548
Active
Practice location
13457 Tesson Ferry Rd
St. Louis, MO 63128-4010
Fax (314) 843-7845
Mailing address
14805 N Outer 40 Rd, Suite 300
Chesterfield, MO 63017-6060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 041921 (MO) |
Assisted Living Facility: 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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About NPI 1104235548
Garden Villas of South County, Inc.'s National Provider Identifier is 1104235548, issued on Aug 11, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 11, 2014.