Organization · Type 2 NPI

Creve Coeur Manor LLC

Skilled Nursing Facility · St. Louis, MO

NPI number 1194806109 Active

Practice location

1127 Timber Run Dr
St. Louis, MO 63146-4482

Fax (314) 434-7785

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	031651 (MO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1194806109

Creve Coeur Manor LLC's National Provider Identifier is 1194806109, issued on Oct 17, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 17, 2013.