Organization
MIZPAH ASSISTED LIVING SERVICES
Active
Other names
MIZPAH MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE KLEIN (ADMINISTRATOR)
(314) 209-1177
Entity
Organization
Contact information
Practice address
11325 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2722
(314) 209-1177
(314) 738-0777
Mailing address
11325 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2722
(314) 209-1177
(314) 738-0777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032466
MO
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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