Organization
ST PETERS OPERATIONS LLC
Active
Other names
The Villages of St Peters
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PIERCE (AUTHORIZED OFFICER)
(972) 899-4401
Entity
Organization
Contact information
Practice address
5400 EXECUTIVE CENTER PKWY, ST PETERS, MO 63376-2594
(636) 922-7600
(636) 922-7677
Mailing address
1500 WATERS RIDGE DR, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
036142
MO
314000000X
Skilled Nursing Facility
Primary
036143
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366615007
—
MO
Enumeration date
04/02/2008
Last updated
01/13/2011
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