Organization · Type 2 NPI
Cedar Knoll Home
Assisted Living Facility · St. James, MO
NPI number
1104982545
Active
Practice location
13635 State Route V
St. James, MO 65559-8331
Fax (573) 265-3658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
About NPI 1104982545
Cedar Knoll Home's National Provider Identifier is 1104982545, issued on Dec 29, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. James, MO. The record was last updated on Aug 22, 2020.