Healthcare Provider Details

I. General information

NPI: 1306831011
Provider Name (Legal Business Name): ST. ANDREWS RESOURCES FOR SENIORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 S WOODS MILL RD
CHESTERFIELD MO
63017-3418
US

IV. Provider business mailing address

307 S WOODS MILL RD
CHESTERFIELD MO
63017-3418
US

V. Phone/Fax

Practice location:
  • Phone: 314-576-5545
  • Fax: 314-576-1354
Mailing address:
  • Phone: 314-576-5545
  • Fax: 314-576-1354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number031035
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number031036
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA B HAGLER-REID
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA
Phone: 314-576-5545