Senior Residential, LLC
NPI #1699895615 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1699895615
- Entity Type
- Organization
- Organization Name
- Senior Residential, LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Mar 31, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3409 MISSOURI AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63118-3236
- Phone
- (314) 771-8360
Authorized Official
- Name
- DAVID L NOLTING
- Title
- MANAGER
- Phone
- (314) 771-8360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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