Edgewood Childrens Center in Saint Louis - Residential Treatment Facility, Emotionally Disturbed Children
Edgewood Childrens Center - NPI 1659498996
Edgewood Childrens Center is a Residential Treatment Facility, Emotionally Disturbed Children in Saint Louis, Missouri. Edgewood Childrens Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Edgewood Childrens Center is 1659498996. The last update date is 2020-08-22.
Edgewood Childrens Center's current location address is 330 N Gore Ave, Saint Louis, Missouri. You can contact this provider via phone number 3149682020 and fax number 3149682060. The mailing address for Edgewood Childrens Center is 330 N Gore Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Edgewood Childrens Center |
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Address | 330 N Gore Ave, Saint Louis, Missouri |
Phone Number | 3149682020 |
Fax Number | 3149682060 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CFO |
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Authorized Official Name | Kimbrough Latriece |
Telephone Number | 3149682060 |
NPI Number Detail
NPI Number | 1659498996 |
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Provider Enumeration Date | 2007-03-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 330 N Gore Ave |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631191600 |
Phone Number | 3149682020 |
Fax Number | 3149682060 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code assigned to Edgewood Childrens Center by the Centers for Medicare & Medicaid Services?
The Edgewood Childrens Center has been issued the NPI (National Provider Identifier) 1659498996, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edgewood Childrens Center is located?
The Edgewood Childrens Center is situated at the following address: 330 N Gore Ave, Saint Louis, MO, 631191600.
What is Edgewood Childrens Center's area of expertise and its corresponding taxonomy classification?
The Edgewood Childrens Center's field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1659498996 to Edgewood Childrens Center?
The Edgewood Childrens Center received its 1659498996 assignment from the Centers for Medicare & Medicaid Services on 2007-03-23.
When was the information related to Edgewood Childrens Center most recently updated or refreshed?
The details pertaining to the Edgewood Childrens Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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