Indepedence Center of Ste. Genevieve County LLC
NPI #1891063400 in Ste Genevieve, Missouri
Provider Information
- NPI Number
- 1891063400
- Entity Type
- Organization
- Organization Name
- Indepedence Center of Ste. Genevieve County LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Dec 9, 2011
- Last Updated
- Feb 20, 2013
Practice Location
- Address
- 21530 HWY 32
- Address 2
- SUITE B
- City
- Ste Genevieve
- State
- Missouri
- ZIP Code
- 63670-8813
- Phone
- (573) 883-3330
Authorized Official
- Name
- MRS. ANDREA KAY ZOELLNER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (573) 883-3330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Exclusive Provider Organization |
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