Organization · Type 2 NPI

SSM Select Rehab ST Louis LLC

Assisted Living Facility · O Fallon, MO

NPI number 1174349997 Active

Practice location

700 S Woodlawn Ave
O Fallon, MO 63366-3026

Mailing address

4714 Gettysburg Rd, Melanie Notario
Mechanicsburg, PA 17055

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Physical Therapist 225100000XNone listed
Neurorehabilitation Occupational Therapist 225XN1300XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Rehabilitation Clinic/Center 261QR0400XNone listed
Assisted Living Facility Primary 310400000XNone listed
Physical Disabilities Residential Treatment Facility 320700000XNone 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.

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About NPI 1174349997

SSM Select Rehab ST Louis LLC's National Provider Identifier is 1174349997, issued on Nov 26, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in O Fallon, MO. The record was last updated on Sep 10, 2025.