Organization
SENIOR LIFE, INC.
Active
Other names
saxton country villa
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A WELTER (BUSINESS MANAGER)
(816) 232-9874
Entity
Organization
Contact information
Practice address
1616 WEISENBORN RD, SAINT JOSEPH, MO 64507-2527
(816) 232-9874
(816) 364-4454
Mailing address
1616 WEISENBORN RD, SAINT JOSEPH, MO 64507-2527
(816) 232-9874
(816) 364-4454
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
034216
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262051600
—
MO
Enumeration date
02/19/2008
Last updated
06/16/2008
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