Organization
OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMANA AFTAB (CEO)
(618) 698-3479
Entity
Organization
Contact information
Practice address
3452 MIDDLEBURY WAY, BELLEVILLE, IL 62221-3372
(314) 868-2232
(314) 868-8075
Mailing address
1000 SAINT CYR RD, SAINT LOUIS, MO 63137-1733
(314) 868-2232
(314) 868-8075
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
Primary
632
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293895702
—
MO
Enumeration date
04/04/2007
Last updated
03/10/2017
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