MEDICARE: R. DEVELOPMENT, INC

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
1	314000000X	Skilled Nursing Facility	030570	MO

General Provider Information

NPI Number	:	1922007277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R. DEVELOPMENT, INC

Provider Business Mailing Address
First Line	:	4359 TAFT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-1533
Country	:	US
Telephone Number	:	314-752-2022
Fax Number	:	314-752-7679

Provider Business Practice Location Address
First Line	:	4359 TAFT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-1533
Country	:	US
Telephone Number	:	314-752-2022
Fax Number	:	314-752-7679

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MICHELLE S. HASSAN
Credential	:	RN
Telephone Number	:	314-752-2022

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	08/22/2020

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Directions to “R. DEVELOPMENT, INC ” Practice Location

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