Organization
CEDARGATE HEALTH CARE CENTER, L.L.C.
Active
Organization
CEDARGATE HEALTH CARE CENTER, L.L.C.
Active
Other names
Cedargate Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J. DESTEFANE (PRESIDENT)
(314) 543-3816
Entity
Organization
Contact information
Practice address
2350 KANELL BLVD, POPLAR BLUFF, MO 63901-4036
(573) 785-0188
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
(314) 543-3816
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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