Organization · Type 2 NPI

Life Development Support Centers

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

NPI number 1750406948 Active

Practice location

12259-61 Bellefontaine Road
St. Louis, MO 63138

Fax (314) 653-6420

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
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 1750406948

Life Development Support Centers's National Provider Identifier is 1750406948, issued on Mar 20, 2007. 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 Sep 11, 2025.