Organization
GAS INCE
Active
Other names
Colonial House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSHA LYNN SAUER (OFFICE MANAGER)
(636) 933-4911
Entity
Organization
Contact information
Practice address
122 E PRATT ST, DE SOTO, MO 63020-2143
(636) 337-8828
(636) 337-2839
Mailing address
115 WEST AVE, FESTUS, MO 63028-1733
(636) 933-4911
(636) 933-9550
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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