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FRIENDSHIP VILLAGE OF SOUTH COUNTY

Assisted Living Facility

Saint Louis, Missouri

Provider NPI: 1477544104

Organization Information:
Organization Name:  FRIENDSHIP VILLAGE OF SOUTH COUNTY


Practice Location:
12651 VILLAGE CIRCLE DR  SAINT LOUIS, MO 63127 US
Tel: 314-842-6840  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MO030527
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MO030733

Other Provider Identifiers:

IssuerNumberStateType
101486504MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ASSISTED LIVING JOBS MO - Page 1



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