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General NPI Number Information
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NPI Number | 1114148251
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Entity Type | Organization
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Legal Business Name | LUTHERAN SENIOR SERVICES
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 727 S LACLEDE STATION RD S
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City | SAINT LOUIS
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State | MO
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Zip | 63119-4911
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Country | US
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Telephone | 314-968-5570
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Fax | 314-968-2497
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Provider Business Mailing Address
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Address Line | 709 S LACLEDE STATION RD S
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City | SAINT LOUIS
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State | MO
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Zip | 63119-4911
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Country | US
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Telephone | 314-968-9313
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Fax | 314-968-5590
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Authorized Official
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Title or Position | CFO
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Name | CHADWICK SNEED
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Credential |
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Telephone | 314-446-2405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 033725
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License Number State | MO
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