Organization
HANDICAP FACILITIES OF ST CHARLES COUNTY
Active
Other names
Developmental Disablities of St Charles County
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOELKE CPA (FINANCE DIRECTOR)
(636) 939-3351
Entity
Organization
Contact information
Practice address
156 ST PETERS CENTRE BLVD, ST PETERS, MO 63376-1695
(636) 939-3351
(636) 939-3988
Mailing address
156 ST PETERS CENTRE BLVD, ST PETERS, MO 63376-1695
(636) 939-3351
(636) 939-3988
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156242901
—
MO
Enumeration date
04/19/2007
Last updated
07/08/2008
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