Organization · Type 2 NPI

Supplemental Health Care

Adult Care Home Facility · St. Louis, MO

NPI number 1902129653 Active

Practice location

11960 Westline Industrial Dr, Suite 201
St. Louis, MO 63146-3209

Call (866) 433-9555 Map

Fax (314) 275-7444

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X117346 (MO)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

92 other providers at this address

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About NPI 1902129653

Supplemental Health Care's National Provider Identifier is 1902129653, issued on Mar 9, 2010. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in St. Louis, MO. The record was last updated on Mar 9, 2010.