Organization
LIVING WITH PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN LEE GARNER (DIRECTOR)
(314) 833-4185
Entity
Organization
Contact information
Practice address
3919 N 19TH ST, SAINT LOUIS, MO 63107-2816
(314) 833-4185
(314) 833-4186
Mailing address
3919 N 19TH ST, SAINT LOUIS, MO 63107-2816
(314) 833-4185
(314) 833-4186
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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