Organization
ELDERHAUS INN #19, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ILMA ANWAR (CEO)
(314) 792-5777
Entity
Organization
Contact information
Practice address
125 ANNA AVE, TROY, MO 63379-2402
(314) 792-5777
Mailing address
4 CLAYTON COURT DR, FRONTENAC, MO 63131-2524
(314) 792-5777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
LC001429138
MO
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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