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General NPI Number Information
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NPI Number | 1003727579
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Entity Type | Organization
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Legal Business Name | AUTISM ALLY SAFE HAVEN AND RESPITE CARE LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1515 N WARSON RD STE 256
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City | SAINT LOUIS
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State | MO
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Zip | 63132-1110
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Country | US
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Telephone | 877-273-4376
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 N WARSON RD STE 256
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City | SAINT LOUIS
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State | MO
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Zip | 63132-1110
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Country | US
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Telephone | 877-273-4376
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHASMINE SUMMERS
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Credential |
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Telephone | 877-273-4376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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