Whalio Doctors

NPI 1962576033

Magdala Foundation

Organisation Intellectual Disabilities Intermediate Care Facility Saint Louis, MO

Practice location

Address
3148 S Kingshighway Blvd, Saint Louis, MO 63139-1118
Phone
(314) 571-9950
Mailing address
4158 Lindell Blvd, Saint Louis, MO 63108-2914

Authorised official

Name
Thomas Mangogna
Title
President/Ceo
Phone
(314) 652-6004

Registered specialties (6)

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2452-10042 (MO)
Adult Day Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QA0600X
Intellectual Disabilities Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2452-10039 (MO)
Intellectual Disabilities Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2452-10040 (MO)
Intellectual Disabilities Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2452-10041 (MO)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 2452, 1460-7235 (MO)

Registry record

NPI
1962576033
Entity type
Organization
NPI issued
20 Nov 2006
Record last updated
11 Jul 2024

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.