Organization · Type 2 NPI

Council for Extended Care

Intellectual and/or Developmental Disabilities Residential Treatment Facility · St. Louis, MO

NPI number 1285755579 Active

Practice location

5257 Shaw Ave, Suite 305
St. Louis, MO 63110-3029

Call (314) 781-4950 Map

Fax (314) 771-8880

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X12483150 (MO)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1285755579

Council for Extended Care's National Provider Identifier is 1285755579, issued on Apr 3, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 22, 2020.