Gas Ince

NPI #1366622649 in De Soto, Missouri

Provider Information

NPI Number: 1366622649
Entity Type: Organization
Organization Name: Gas Ince
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Nov 5, 2007
Last Updated: Nov 5, 2007

Practice Location

Address: 122 E PRATT ST
City: De Soto
State: Missouri
ZIP Code: 63020-2143
Phone: (636) 337-8828

Authorized Official

Name: MRS. ALYSHA LYNN SAUER
Title: OFFICE MANAGER
Phone: (636) 933-4911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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