Healthcare Provider Details

I. General information

NPI: 1497613590
Provider Name (Legal Business Name): LAUREL MEADOWS WELLNESS & REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 1ST CAPITOL DR
SAINT CHARLES MO
63301-2729
US

IV. Provider business mailing address

723 1ST CAPITOL DR
SAINT CHARLES MO
63301-2729
US

V. Phone/Fax

Practice location:
  • Phone: 323-987-5954
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID GARETZ
Title or Position: CFO
Credential:
Phone: 213-395-1848