NPI 1407058894
K. F. Jammer Manor INC.
Practice location
- Address
- 5415 Thekla Ave, Saint Louis, MO 63120-2513
- Phone
- (314) 385-8180
- Mailing address
- 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325
Authorised official
- Name
- Varo Davis
- Title
- Administrator
- Phone
- (314) 862-1662
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1407058894
- Entity type
- Organization
- NPI issued
- 5 Jun 2007
- Record last updated
- 22 Aug 2020
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.