Organization
SSTAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI WADE (ADMINISTRATOR)
(314) 680-9480
Entity
Organization
Contact information
Practice address
125 ANNA AVE # 18, TROY, MO 63379-2402
(636) 462-6979
Mailing address
4579 LACLEDE AVE # 280, SAINT LOUIS, MO 63108-2103
(314) 680-9480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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