Organization
ST. ANN ASSISTED LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW STUBBLEFIELD (PRESIDENT)
(314) 803-6684
Entity
Organization
Contact information
Practice address
10441 INTERNATIONAL PLAZA DR, SAINT ANN, MO 63074-1805
(314) 803-6620
(314) 423-1233
Mailing address
10441 INTERNATIONAL PLAZA DR, SAINT ANN, MO 63074-1805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
039821
MO
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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