Organization
CARONDELET RETIREMENT MANOR
Active
Parent organization
MISSOURI RESIDENTIAL CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI RESIDENTIAL CARE, LLC
Authorized official
CHRISTOPHER MICHAEL VANCIL (OWNER)
(314) 630-3543
Entity
Organization
Contact information
Practice address
6811 MICHIGAN AVE, SAINT LOUIS, MO 63111-2834
(314) 630-3543
Mailing address
6811 MICHIGAN AVE., ST LOUIS, MO 63111
(314) 630-3543
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
043127
MO
Other
Enumeration date
05/01/2015
Last updated
05/06/2015
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