Provider Demographics
NPI:1518688050
Name:FLORISSANT RETIREMENT INVESTORS, LLC
Entity Type:Organization
Organization Name:FLORISSANT RETIREMENT INVESTORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-831-0988
Mailing Address - Street 1:9450 MANCHESTER RD STE 207
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-1452
Mailing Address - Country:US
Mailing Address - Phone:314-517-5700
Mailing Address - Fax:
Practice Address - Street 1:1101 GARDEN PLAZA DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-2212
Practice Address - Country:US
Practice Address - Phone:314-517-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility