Organization
CHEROKEE RESIDENTIAL CARE LLC
Active
Other names
New Heights Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY RANDAL GETTMAN NHA (ADMINISTRATOR)
(314) 368-3247
Entity
Organization
Contact information
Practice address
3409 MISSOURI AVE, SAINT LOUIS, MO 63118
(314) 368-3247
(314) 771-1377
Mailing address
3409 MISSOURI AVE, SAINT LOUIS, MO 63118
(314) 368-3247
(314) 771-1377
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
034514
MO
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
042586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266735109
—
MO
Enumeration date
05/08/2008
Last updated
11/24/2014
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