National Provider Identifier Database

EASTER SEALS MIDWEST
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

EASTER SEALS MIDWEST
893 PRIGGE
SPANISH LAKE, MO63138
Phone: 314-394-7100
Fax: 314-394-4007
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Day Training, Developmentally Disabled Services 251C00000X

* Indicates primary specialty

NPI Profile & details for EASTER SEALS MIDWEST

NPI Number 1699818542
Legal business name
LBN
EASTER SEALS MIDWEST
Authorized official JOHN ADKINS - (VICE PRESIDENT, CFO)
Entity Organization
Organization subpart No
Enumeration date 02/14/2007
Last updated 02/03/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 856089107

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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