Organization
WILBAR BOARDING HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA BAKER R.N. (DIRECTOR OF NURSING)
(314) 535-2141
Entity
Organization
Contact information
Practice address
4337 MARYLAND AVE, SAINT LOUIS, MO 63108-2703
(314) 535-2141
(314) 535-3717
Mailing address
4337 MARYLAND AVE, SAINT LOUIS, MO 63108-2703
(314) 535-2141
(314) 535-3717
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
032570
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266937200
—
MO
Enumeration date
03/27/2007
Last updated
05/02/2008
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