Organization
JOHN ROBERT REITER RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MICHELLE REITER (ADMINISTRATOR)
(314) 497-6331
Entity
Organization
Contact information
Practice address
5415 THEKLA AVE, SAINT LOUIS, MO 63120-2513
(314) 385-8180
(314) 385-8880
Mailing address
5415 THEKLA AVE, SAINT LOUIS, MO 63120-2513
(314) 385-8180
(314) 385-8880
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
037959
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407058894
—
MO
Enumeration date
05/04/2010
Last updated
05/04/2010
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