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

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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.