National Provider Identifier Database

LIFE DEVELOPMENT SUPPORT CENTERS
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

LIFE DEVELOPMENT SUPPORT CENTERS
12259-61 BELLEFONTAINE ROAD
SAINT LOUIS, MO63138
Phone: 314-653-6882
Fax: 314-653-6420
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 LIFE DEVELOPMENT SUPPORT CENTERS

NPI Number 1750406948
Legal business name
LBN
LIFE DEVELOPMENT SUPPORT CENTERS
Authorized official JOANNA HARRIS - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/20/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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