Organization
BELLEFONTAINE GARDENS NURSING & REHAB, INC.
Active
Other names
Bellefontaine Gardens Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C LINCOLN (SHAREHOLDER)
(573) 746-7100
Entity
Organization
Contact information
Practice address
9500 BELLEFONTAINE RD, SAINT LOUIS, MO 63137-1336
(314) 388-0796
(314) 388-2654
Mailing address
9500 BELLEFONTAINE RD, SAINT LOUIS, MO 63137-1336
(314) 388-0796
(314) 388-2654
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030826
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102972700
—
MO
01
—
17401305
STATE ID
MO
Enumeration date
09/21/2005
Last updated
11/03/2011
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