Provider Demographics
NPI:1740758309
Name:MPAL REAL ESTATE, LLC
Entity Type:Organization
Organization Name:MPAL REAL ESTATE, LLC
Other - Org Name:MCKNIGHT PLACE ASSISTED LIVING AND MEMORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:RITTHAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:314-372-1250
Mailing Address - Street 1:3 MCKNIGHT PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1900
Mailing Address - Country:US
Mailing Address - Phone:314-993-9999
Mailing Address - Fax:314-372-2394
Practice Address - Street 1:3 MCKNIGHT PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1900
Practice Address - Country:US
Practice Address - Phone:314-993-9999
Practice Address - Fax:314-372-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-12
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility