Organization
PROMISE MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES H FELKER (CEO)
(314) 302-4908
Entity
Organization
Contact information
Practice address
5 S NEWSTEAD AVE, SAINT LOUIS, MO 63108-2213
(314) 302-4908
Mailing address
5 S NEWSTEAD AVE, SAINT LOUIS, MO 63108-2213
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/21/2016
Last updated
02/29/2016
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