Whalio Doctors

NPI 1699213603

Equilibrium Homes of St. Louis LLC

Organisation Intellectual Disabilities Intermediate Care Facility Florissant, MO

Practice location

Address
3054 Sir Christopher Ln, Florissant, MO 63033-3114
Phone
(314) 659-6167

Authorised official

Name
Iesha Powell
Title
Owner / Program Director
Phone
(314) 715-4666

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X

Registry record

NPI
1699213603
Entity type
Organization
NPI issued
9 Feb 2017
Record last updated
9 Feb 2017

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.