Organization
DESOTO RESIDENTIAL CARE APTS, INC.
Active
Other names
The Villas
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R MENZ (BILLER)
(573) 659-6607
Entity
Organization
Contact information
Practice address
1550 VILLA DR, DE SOTO, MO 63020-2586
(636) 586-6559
Mailing address
1550 VILLA DR, DE SOTO, MO 63020-2586
(636) 586-6559
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
031260
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266751809
—
MO
Enumeration date
03/06/2007
Last updated
06/27/2008
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