Organization
ST PAULS SENIOR COMMUNITY LLC
Active
Other names
ST. PAUL'S HOME
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN PAPIN (MEDICARE BILLING SPECIALIST)
(636) 222-0060
Entity
Organization
Contact information
Practice address
1021 W E ST, BELLEVILLE, IL 62220-1055
(618) 233-2095
(618) 233-2109
Mailing address
1021 W E ST, BELLEVILLE, IL 62220-1055
(618) 233-2095
(618) 233-2109
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0013920
IL
Other
Enumeration date
09/21/2005
Last updated
05/14/2020
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