Organization · Type 2 NPI

Magdala Foundation

Intellectual Disabilities Intermediate Care Facility · St. Louis, MO

NPI number 1619135993 Active

Practice location

3900 Canterbury Dr
St. Louis, MO 63121-2500

Call (314) 652-6004 Map

Fax (314) 652-8351

Mailing address

4158 Lindell Blvd
St. Louis, MO 63108-2914

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X2452 10040 (MO)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1619135993

Magdala Foundation's National Provider Identifier is 1619135993, issued on May 23, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in St. Louis, MO. The record was last updated on May 23, 2008.