Organization
ST. LOUIS ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN ANNE TISONE (VP OPERATIONS/CFO)
(314) 817-2207
Entity
Organization
Contact information
Practice address
714 CARRIAGE LN, HAZELWOOD, MO 63042-3452
(314) 817-2207
Mailing address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
103091
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852998301
—
MO
Enumeration date
01/17/2008
Last updated
06/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us