Organization
CENTER STAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDA SMITH (ADMINISTRATOR)
(314) 533-6600
Entity
Organization
Contact information
Practice address
3923 WASHINGTON BLVD, SAINT LOUIS, MO 63108-3507
(314) 533-6600
(314) 533-6601
Mailing address
3923 WASHINGTON BLVD, SAINT LOUIS, MO 63108-3507
(314) 533-6600
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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