Organization
SMILEY MANOR WEST LLC
Active
Parent organization
SMILEY MANOR LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMILEY MANOR LLC
Authorized official
MRS. VALARIE W SMITH (MANAGER)
(314) 323-1021
Entity
Organization
Contact information
Practice address
1119 GOODFELLOW BLVD, SAINT LOUIS, MO 63112-2816
(314) 323-1021
Mailing address
1119 GOODFELLOW BLVD, SAINT LOUIS, MO 63112-2816
(314) 323-1021
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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