Provider Demographics
NPI:1568239093
Name:THE STAUDER GROUP LLC
Entity Type:Organization
Organization Name:THE STAUDER GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:STAUDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-206-6067
Mailing Address - Street 1:1032 HARTMAN LN
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-7208
Mailing Address - Country:US
Mailing Address - Phone:618-206-6067
Mailing Address - Fax:618-206-6070
Practice Address - Street 1:1032 HARTMAN LN
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-7208
Practice Address - Country:US
Practice Address - Phone:618-206-6067
Practice Address - Fax:618-206-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility