| Organization Name: | FRIENDSHIP VILLAGE OF SOUTH COUNTY |
| NPI Number: | 1477544104 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOWARD W CURTIS (BOARD PRESIDENT) |
| Mailing Address: | 12503 Village Circle Dr Saint Louis |
| State: | MO US |
| Postal Code: | 631271701 |
| Phone Number: | 3148426840 |
| Fax Number: | 3145257500 |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 12/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | 030527 |
| 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. |