NPI 1093567349
Central Residence Cnsl Operation LLC
Practice location
- Address
- 5143 Waterman Blvd, Saint Louis, MO 63108-1103
- Phone
- (314) 367-5620
- Mailing address
- 1734 Gilsinn Ln, Fenton, MO 63026-2004
Authorised official
- Name
- Seth Geller
- Title
- Authorized Official
- Phone
- (314) 367-5620
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1093567349
- Entity type
- Organization
- NPI issued
- 2 Apr 2024
- Record last updated
- 2 Apr 2024
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.