Missouri Residential Care LLC
NPI #1932369857 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1932369857
- Entity Type
- Organization
- Organization Name
- Missouri Residential Care LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jun 13, 2008
- Last Updated
- Jan 11, 2018
Practice Location
- Address
- 7700 MINNESOTA AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63111-3336
- Phone
- (314) 449-1497
Authorized Official
- Name
- CHRISTOPHER M. VANCIL
- Title
- OWNER/ADMINISTRATOR
- Phone
- (314) 449-1497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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