Organization
ALEXIAN BROTHERS LANSDOWNE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY M SEELBACH (DIRECTOR OF ACCOUNTS RECEIVABLE)
(314) 880-8938
Entity
Organization
Contact information
Practice address
4624 LANSDOWNE AVE, SAINT LOUIS, MO 63116-1523
(314) 351-6888
(314) 351-5825
Mailing address
4624 LANSDOWNE AVE, SAINT LOUIS, MO 63116-1523
(314) 351-6888
(314) 351-5825
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
030896
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10262200
—
MO
05
—
102622008
—
MO
Enumeration date
09/20/2006
Last updated
02/17/2012
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