NPI 1083857650
Beauvais Manor
Practice location
- Address
- 3625 Magnolia Ave, Saint Louis, MO 63110-4048
- Phone
- (314) 771-2990
- Fax
- (314) 771-7790
Authorised official
- Name
- Marlene Elaine Moore
- Title
- Rehab Tech.
- Phone
- (314) 771-2990
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1083857650
- Entity type
- Organization
- NPI issued
- 13 Apr 2009
- Record last updated
- 13 Apr 2009
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.