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Organization

EASTER SEALS MIDWEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN W. ADKINS (VICE PRESIDEN, CFO)
(314) 394-7100
Entity
Organization

Contact information

Practice address
2215 LACKLAND ROAD, OVERLAND, MO 63114
(314) 394-7100
(314) 394-4007
Mailing address
13545 BARRETT PARKWAY DRIVE, SUITE 300, BALLWIN, MO 63021
(314) 394-7100
(314) 694-4007

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
852837749
MO
Enumeration date
02/14/2007
Last updated
02/03/2015
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