Whalio Doctors

NPI 1093514200

Advance Wellness Group LLC

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

Practice location

Address
7915 Olive Blvd, Saint Louis, MO 63130-2020
Phone
(314) 665-9134
Fax
(314) 453-3897

Authorised official

Name
Ebony S Hagens
Title
Owner
Phone
(314) 665-9134

Registered specialties (7)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Home Health Agency
Agencies Taxonomy 251E00000X
Foster Care Agency
Agencies Taxonomy 253J00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X
Physical Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320700000X
Respite Care
Respite Care Facility Taxonomy 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X

Registry record

NPI
1093514200
Entity type
Organization
NPI issued
10 Mar 2025
Record last updated
8 May 2025

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.