Organization · Type 2 NPI
Garden Villas North, LLC
Assisted Living Facility · Black Jack, MO
NPI number
1497164834
Active
Practice location
4505 Parker Rd
Black Jack, MO 63033-4268
Fax (314) 355-1463
Mailing address
14805 N Outer 40 Rd, Suite 300
Chesterfield, MO 63017-6060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 041853 (MO) |
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 1497164834
Garden Villas North, LLC's National Provider Identifier is 1497164834, issued on Aug 11, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Black Jack, MO. The record was last updated on Aug 11, 2014.