Organization
FRIENDSHIP VILLAGE OF WEST COUNTY
Active
Other names
FRIENDSHIP VILLAGE CHESTERFIELD
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHAMPION (OFFICER)
(314) 270-7810
Entity
Organization
Contact information
Practice address
15250 VILLAGE VIEW DRIVE, CHESTERFIELD, MO 63017-1810
(636) 532-1515
(636) 733-0139
Mailing address
15250 VILLAGE VIEW DRIVE, CHESTERFIELD, MO 63017-1810
(636) 532-1515
(636) 733-0139
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031648
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031648
STATE LICENSE
MO
05
—
101486603
—
MO
Enumeration date
11/02/2005
Last updated
10/01/2020
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