Organization
DOUBLE G LAND CO, LLC
Active
Other names
Garden Villas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL LEE HARTMANN (TREASURER)
(636) 733-7000
Entity
Organization
Contact information
Practice address
13590 S OUTER 40 RD, CHESTERFIELD, MO 63017-5823
(314) 434-2520
(314) 434-4223
Mailing address
14805 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63017-6060
(636) 733-7000
(636) 733-7010
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
041944
MO
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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