Home » Missouri » 63019 » Colonial House Of Crystal City, Llc

Colonial House Of Crystal City, Llc

Colonial House Of Crystal City, Llc is a health care provider in Festus, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 26 Mississippi Ave, Crystal City, MO 63019-1817, US
Practice Location Phone636-937-1000
Practice Location Fax636-937-1003
Legal Business NameCOLONIAL HOUSE OF CRYSTAL CITY, LLC
Other Organization NameCOLONIAL HOUSE OF CRYSTAL CITY
Other Organization Name TypeFormer Legal Business Name
NPI ?1962644401
Entity TypeOrganization
Enumeration Date ? Mar 30, 2009
Last Update Date ? Mar 30, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Colonial House Of Crystal City, Llc

SpecialtySpecializationLicenseLicense State
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

official-icon Authorized Official of Colonial House Of Crystal City, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Colonial House Of Crystal City, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Alysha Lynn Sauer
Authorized Official Title/PositionMEMBER
Authorized Official Phone Number636-933-4911