Organization
SW LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALONDA RENA WALTERS (MANAGER)
(314) 323-4287
Entity
Organization
Contact information
Practice address
1501 CLINTON ST, SAINT LOUIS, MO 63106-4100
(314) 323-4287
Mailing address
1501 CLINTON ST, SAINT LOUIS, MO 63106-4100
(314) 323-4287
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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