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General NPI Number Information
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NPI Number | 1235202870
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Entity Type | Organization
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Legal Business Name | RESIDENTIAL SERVICES CORPORATION
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 325 N NEWSTEAD
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City | ST LOUIS
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State | MO
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Zip | 63108
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Country | US
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Telephone | 314-652-9525
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Fax | 314-652-8879
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Provider Business Mailing Address
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Address Line | 7601 WATSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-5001
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Country | US
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Telephone | 314-961-8000
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Fax | 314-962-4159
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Authorized Official
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Title or Position | BILLING ACCT REP
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Name | KANYEKA CEDELL GARNER
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Credential |
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Telephone | 314-918-2263
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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 | 032905
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License Number State | MO
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