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.
|Practice Location||26 Mississippi Ave, Crystal City, MO 63019-1817, US|
|Practice Location Phone||636-937-1000|
|Practice Location Fax||636-937-1003|
|Legal Business Name||COLONIAL HOUSE OF CRYSTAL CITY, LLC|
|Other Organization Name||COLONIAL HOUSE OF CRYSTAL CITY|
|Other Organization Name Type||Former Legal Business Name|
|Enumeration Date ?||Mar 30, 2009|
|Last Update Date ?||Mar 30, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|
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/Position||MEMBER|
|Authorized Official Phone Number||636-933-4911|