SR
SENIOR RESIDENTIAL, LLC
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
SAINT LOUIS, MO
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1699895615
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameDAVID NOLTING
TitleMANAGER
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