Organization
ABUNDANT LIFE SKILLS EHHANCEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY ANN HUNTSPON CERTIFICATIONS (DIRECTOR)
(314) 972-8291
Entity
Organization
Contact information
Practice address
1560 YEARLING DR, FLORISSANT, MO 63033-3148
(314) 972-8291
Mailing address
1560 YEARLING DR, FLORISSANT, MO 63033-3148
(314) 972-8291
(314) 921-2656
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
08/07/2008
Last updated
08/13/2008
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