Organization Name: | ST PETERS OPERATIONS LLC |
NPI Number: | 1366615007 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA PIERCE (AUTHORIZED OFFICER) |
Mailing Address: | 5400 Executive Center Pkwy St Peters |
State: | MO US |
Postal Code: | 633762594 |
Phone Number: | 6369227600 |
Fax Number: | 6369227677 |
NPI Enumeration Date: | 04/02/2008 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 036142 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |