NPI 1275877805

Ride on St Louis, INC.

Organisation Physical Disabilities Residential Treatment Facility Imperial, MO

Practice location

Address: 6008 Windsor Harbor Ln, Imperial, MO 63052
Phone: (636) 464-3408
Mailing address: PO Box 94, Kimmswick, MO 63053-0094

Authorised official

Name: Marita a Wassman
Title: Program Director
Phone: (636) 464-3408

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 01694 (MO)

Other Residential Treatment Facility, Physical Disabilities providers in Missouri →

Registry record

NPI: 1275877805
Entity type: Organization
NPI issued: 20 Nov 2012
Record last updated: 20 Nov 2012

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.