National Provider Identifier Database

MAGDALA FOUNDATION
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

MAGDALA FOUNDATION
3900 CANTERBURY DR
SAINT LOUIS, MO63121-2500
Phone: 314-652-6004
Fax: 314-652-8351
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for MAGDALA FOUNDATION

NPI Number 1619135993
Legal business name
LBN
MAGDALA FOUNDATION
Authorized official DAVID MEYER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/23/2008
Last updated 05/23/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 2452 10040
  • MO Medicaid: 112182605

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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