Organization
SPRING MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALEH MALIK (PRESIDENT)
(314) 265-6634
Entity
Organization
Contact information
Practice address
3610 PALM ST., APT/SUITE, SAINT LOUIS, MO 63107
(314) 533-3111
(314) 533-3120
Mailing address
2931 N SPRING AVE, APT/SUITE, SAINT LOUIS, MO 63107-2306
(314) 533-3111
(314) 533-3120
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
041208
MO
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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