Ste Genevieve Group Home Inc.
NPI #1649487315 in Ste Genevieve, Missouri
Provider Information
- NPI Number
- 1649487315
- Entity Type
- Organization
- Organization Name
- Ste Genevieve Group Home Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 630 POINTE BASSE DR
- City
- Ste Genevieve
- State
- Missouri
- ZIP Code
- 63670-1849
- Phone
- (573) 883-3074
Authorized Official
- Name
- CAROL A DEARDORFF
- Title
- ADMINISTRATOR
- Phone
- (573) 883-3074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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