Organization
FSC OF LAKE ST LOUIS LLC
Active
Other names
Cottages of Lake St. Louis
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ALLEN BEAMER (VP OF OPERATIONS)
(314) 259-1044
Entity
Organization
Contact information
Practice address
2885 TECHNOLOGY DR, LAKE ST LOUIS, MO 63367-4123
(314) 259-1044
(314) 259-1405
Mailing address
2885 TECHNOLOGY DR, LAKE ST LOUIS, MO 63367-4123
(314) 259-1044
(314) 259-1405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
10/20/2016
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