NPI 1619135993

Magdala Foundation

Organisation Intellectual Disabilities Intermediate Care Facility Saint Louis, MO

Practice location

Address: 3900 Canterbury Dr, Saint Louis, MO 63121-2500
Phone: (314) 652-6004
Fax: (314) 652-8351
Mailing address: 4158 Lindell Blvd, Saint Louis, MO 63108-2914

Authorised official

Name: David Meyer
Title: Executive Director
Phone: (314) 652-6004

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2452 10040 (MO)

Other Intermediate Care Facility, Intellectual Disabilities providers in Missouri →

Registry record

NPI: 1619135993
Entity type: Organization
NPI issued: 23 May 2008
Record last updated: 23 May 2008

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.