Whalio Doctors

NPI 1023703162

Viva Superior Care, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Bridgeton, MO

Practice location

Address
3311 Tuscany Hills CT, Bridgeton, MO 63044-2817
Phone
(865) 591-2712

Authorised official

Name
Mussie Alemseghed
Title
Research Specialist
Phone
(865) 591-2712

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1023703162
Entity type
Organization
NPI issued
5 Apr 2023
Record last updated
5 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.