Organization
GARDEN VILLAS NORTH, LLC
Active
Organization
GARDEN VILLAS NORTH, LLC
Active
Other names
Garden Villas North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL LEE HARTMANN (TREASURER)
(636) 733-7000
Entity
Organization
Contact information
Practice address
4505 PARKER RD, BLACK JACK, MO 63033-4268
(314) 355-6100
(314) 355-1463
Mailing address
14805 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63017-6060
(636) 733-7000
(636) 733-7010
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
041853
MO
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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