MAGDALA FOUNDATION NPI 1962576033

NPI Information

MAGDALA FOUNDATION is an intermediate care facility mentally retarded in Saint Louis, MO. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. MAGDALA FOUNDATION NPI is 1962576033. The provider is registered as an organization entity type.

The provider's business location address is:

4158 LINDELL BLVD
SAINT LOUIS, MO
ZIP 63108-914
Phone: (314) 652-6004
Fax: (314) 652-8351

The provider's authorized official is David J. Meyer .
The authorized official title is Executive Director and has the following contact phone number (314) 652-6004.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/30/2007.

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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