NPI 1699213603
Equilibrium Homes of St. Louis LLC
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
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.