Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1861782898

N/A is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

1318 Pennsylvania Ave
Saint Louis, MO 63133-1036
Phone: (314) 401-1466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X · Licence 07397218 (MO)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence 07397218 (MO)
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X · Licence 07397218 (MO)

Record details

NPI number1861782898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Patrick — Home Aid · (314) 401-1466
Other names Gloria Patrick
NPI enumeratedApril 11, 2011
Last updated in NPPESApril 11, 2011
Mailing address1318 Pennsylvania Ave, Pagedale, MO 63133-1036

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