Organization
BEAUVAIS MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE ELAINE MOORE (REHAB TECH.)
(314) 771-2990
Entity
Organization
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
(314) 771-7790
Mailing address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
(314) 771-7790
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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