Healthcare Provider Details

I. General information

NPI: 1801944319
Provider Name (Legal Business Name): NORMANDY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 SAINT CHARLES ROCK RD
SAINT LOUIS MO
63133-1737
US

IV. Provider business mailing address

7301 SAINT CHARLES ROCK RD
SAINT LOUIS MO
63133-1737
US

V. Phone/Fax

Practice location:
  • Phone: 314-862-0555
  • Fax: 314-727-7040
Mailing address:
  • Phone: 314-862-0555
  • Fax: 314-727-7040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number032299
License Number StateMO

VIII. Authorized Official

Name: MS. KERRY KAUFMANN
Title or Position: ADMINISTRATOR
Credential:
Phone: 314-862-0555