Healthcare Provider Details

I. General information

NPI: 1679803787
Provider Name (Legal Business Name): FUTURE FOCUS OF U-CITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

894 LELAND AVENUE
UNIVERSITY CITY MO
63130-3239
US

IV. Provider business mailing address

3904 S OLD HIGHWAY 94 SUITE 400
SAINT PETERS MO
63304-2850
US

V. Phone/Fax

Practice location:
  • Phone: 314-726-4767
  • Fax: 314-726-1308
Mailing address:
  • Phone: 314-259-1044
  • Fax: 314-259-1405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number037745
License Number StateMO

VIII. Authorized Official

Name: MRS. KATHLEEN E BEAMER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 314-259-1044