Lutheran Senior Services

NPI 1053405183 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1053405183
Enumeration Date 10/03/2006
Last Updated 02/25/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL T MICHAEL
Position REGIONAL VICE PRESIDENT
Phone (314) 355-8833
Fax (314) 355-7664
Practice Location
11728 HIDDEN LAKE DR
SAINT LOUIS MO, 63138-1757, US
Phone (314) 355-8833
Fax (314) 355-7664
Business Location
1150 HANLEY INDUSTRIAL CT
SAINT LOUIS MO, 63144-1910, US
Phone (314) 968-9313
Fax (314) 968-5590
Toxanomy
Taxonomy Code 314000000X
License State Missouri
License Number 032285
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According to our database, Lutheran Senior Services NPI is 1053405183, taxonomy code is 314000000X and license number is 032285, license state is located at Missouri. Lutheran Senior Services physically located at 11728 Hidden Lake Dr, Saint Louis MO, 63138-1757. NPI Number 1033115704 has the healthcare provider type.

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1053405183 NPI number is provided on an as is basis without warranty of any kind. 1053405183 is maintained by the National Plan & Provider Enumeration System. The contents of Lutheran Senior Services are for informational purposes only.