EQUILIBRIUM HOMES OF ST. LOUIS LLC NPI 1699213603

NPI Information

EQUILIBRIUM HOMES OF ST. LOUIS LLC is an intermediate care facility mentally retarded in Florissant, MO. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EQUILIBRIUM HOMES OF ST. LOUIS LLC NPI is 1699213603. The provider is registered as an organization entity type.

The provider's business location address is:

3054 SIR CHRISTOPHER LN
FLORISSANT, MO
ZIP 63033-114
Phone: (314) 659-6167

The provider's authorized official is Iesha Powell .
The authorized official title is Owner / Program Director and has the following contact phone number (314) 715-4666.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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