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Organization

LIFE DEVELOPMENT SUPPORT CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANNA L. HARRIS (DIRECTOR)
(314) 653-6882
Entity
Organization

Contact information

Practice address
12259-61 BELLEFONTAINE ROAD, SAINT LOUIS, MO 63138
(314) 653-6882
(314) 653-6420
Mailing address
12259-61 BELLEFONTAINE ROAD, SAINT LOUIS, MO 63138
(314) 653-6882
(314) 653-6420

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MO

Other

Enumeration date
03/20/2007
Last updated
09/11/2025
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