Organization
SUN VALLEY ADULT CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARY WHITEHEAD (PRESIDENT/DIRECTOR)
(314) 868-2232
Entity
Organization
Contact information
Practice address
1000 SAINT CYR RD, SAINT LOUIS, MO 63137-1733
(314) 868-2232
(314) 868-8075
Mailing address
1000 SAINT CYR RD, SAINT LOUIS, MO 63137-1733
(314) 868-2232
(314) 868-8075
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1028
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293895702
—
MO
Enumeration date
07/18/2013
Last updated
07/18/2013
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