Organization · Type 2 NPI
Victorian Manor of ST Clair
Assisted Living Facility · St. Clair, MO
NPI number
1568614063
Active
Practice location
160 Charles Dr
St. Clair, MO 63077
Fax (636) 322-0006
Mailing address
1015 Springfield Rd
Owensville, MO 65066-1015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 036029 (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.
Another provider at this address
Other assisted living facility providers in St. Clair
About NPI 1568614063
Victorian Manor of ST Clair's National Provider Identifier is 1568614063, issued on Oct 15, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Clair, MO. The record was last updated on Oct 15, 2008.