Bci Boone Center Llc

NPI 1093082117 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1093082117
Enumeration Date 11/17/2011
Last Updated 11/17/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CHUCK CHUCK
Position CEO
Phone (636) 978-4300
Fax (636) 978-4343
Practice Location
200 TRADE CENTER DR W
SAINT PETERS MO, 63376-1190, US
Phone (636) 978-4300
Fax (636) 978-4343
Business Location
200 TRADE CENTER DR W
SAINT PETERS MO, 63376-1190, US
Phone (636) 978-4300
Fax (636) 978-4343
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Bci Boone Center Llc NPI is 1093082117, taxonomy code is 320900000X Bci Boone Center Llc physically located at 200 Trade Center Dr W, Saint Peters MO, 63376-1190. NPI Number 1033115704 has the healthcare provider type.

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1093082117 NPI number is provided on an as is basis without warranty of any kind. 1093082117 is maintained by the National Plan & Provider Enumeration System. The contents of Bci Boone Center Llc are for informational purposes only.