Organization · Type 2 NPI

Full Potential Residential Services, LLC

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

NPI number 1730337114 Active

Practice location

8208 Page Ave
St. Louis, MO 63130-1115

Call (314) 839-9157 Map

Fax (314) 839-9157

Mailing address

2335 Indiancup Dr
Florissant, MO 63033-1736

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	2006031224 (MO)

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 1730337114

Full Potential Residential Services, LLC's National Provider Identifier is 1730337114, issued on Aug 28, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 28, 2008.