Beauvais Manor

NPI #1083857650 in Saint Louis, Missouri

Provider Information

NPI Number
1083857650
Entity Type
Organization
Organization Name
Beauvais Manor
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Apr 13, 2009
Last Updated
Apr 13, 2009

Practice Location

Address
3625 MAGNOLIA AVE
ZIP Code
63110-4048
Phone
(314) 771-2990

Authorized Official

Name
MS. MARLENE ELAINE MOORE
Title
REHAB TECH.
Phone
(314) 771-2990

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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