Organization · Type 2 NPI

Easter Seals Midwest

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hazelwood, MO

NPI number 1629100342 Active · reactivated Feb 3, 2015

Practice location

833 Townhouse
Hazelwood, MO 63042

Call (314) 394-7100 Map

Fax (314) 394-4007

Mailing address

13545 Barrett Parkway Drive, Suite 300
Ballwin, MO 63021

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1629100342

Easter Seals Midwest's National Provider Identifier is 1629100342, issued on Mar 9, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hazelwood, MO. The record was last updated on Feb 23, 2015.