Provider Demographics
NPI:1083934889
Name:L'ARCHE ST. LOUIS, INC
Entity type:Organization
Organization Name:L'ARCHE ST. LOUIS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:KILCOYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:314-395-5851
Mailing Address - Street 1:9445 LITZSINGER ROAD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63144
Mailing Address - Country:US
Mailing Address - Phone:314-395-5851
Mailing Address - Fax:314-492-8685
Practice Address - Street 1:9445 LITZSINGER ROAD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MO
Practice Address - Zip Code:63144
Practice Address - Country:US
Practice Address - Phone:314-395-5851
Practice Address - Fax:314-492-8685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities