Organization
UNITED CEREBRAL PALSY HEARTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A BURCH (CFO)
(636) 779-2251
Entity
Organization
Contact information
Practice address
8645 OLD BONHOMME RD, UNITED CEREBRAL PALSY OF GREATER ST. LOUIS, SAINT LOUIS, MO 63132-3999
(314) 994-1600
(314) 994-0179
Mailing address
4645 LA GUARDIA DRIVE, BERKELEY, MO 63134
(314) 994-1600
(314) 994-0179
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852639418
—
MO
Enumeration date
12/21/2007
Last updated
08/19/2021
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