Organization
SUPPORT INNOVATIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA KLEINLEIN (ADMINISTRATIVE MANAGER)
(314) 205-0588
Entity
Organization
Contact information
Practice address
1240 DAUTEL LN, SAINT LOUIS, MO 63146-5533
(314) 205-0588
Mailing address
13422 CLAYTON RD, SUITE 214, SAINT LOUIS, MO 63131-1008
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
644
MO
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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