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NPI Code Detail

MEDICARE: FUTURE FOCUS OF SOUTH CITY LLC

MEDICARE: FUTURE FOCUS OF SOUTH CITY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1134558992
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUTURE FOCUS OF SOUTH CITY LLC
Provider Business Mailing Address
First Line : 3904 S OLD HIGHWAY 94
Second Line : SUITE 400
City : SAINT CHARLES
State : MO
Zip : 63304-2850
Country : US
Telephone Number : 314-259-1044
Fax Number :
Provider Business Practice Location Address
First Line : 3715 JAMIESON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63109-1109
Country : US
Telephone Number : 314-259-1044
Fax Number :
Authorized Official
Title or Position : COO
Name : ROBERT ALLEN BEAMER
Credential :
Telephone Number : 314-259-1044
Provider Enumeration Date : 11/02/2013
Last Update Date : 11/02/2013

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Directions to “FUTURE FOCUS OF SOUTH CITY LLC ” Practice Location

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