Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Full Potential Residential Services, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1730337114

Full Potential Residential Services, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8208 Page Ave
Saint Louis, MO 63130-1115
Phone: (314) 839-9157
Fax: (314) 839-9157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 2006031224 (MO)

Record details

NPI number1730337114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Demetra Roberts — Administrator · (314) 839-9157
NPI enumeratedAugust 28, 2008
Last updated in NPPESAugust 28, 2008
Mailing address2335 Indiancup Dr, Florissant, MO 63033-1736

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