Indepedence Center of Ste Genevieve County LLC
Indepedence Center of Ste Genevieve County LLC is an Exclusive Provider Organization in Ste Genevieve, Missouri. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21530 Hwy 32 Ste BSte Genevieve, MO 63670-8813
Phone: (573) 883-3330
Fax: (573) 883-3332
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1891063400 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrea Zoellner — Executive Director · (573) 883-3330 |
| NPI enumerated | December 9, 2011 |
| Last updated in NPPES | February 20, 2013 |
| Mailing address | 21530 Hwy 32, Suite B, Ste Genevieve, MO 63670-8813 |