Provider Demographics
NPI:1013312230
Name:ARBOR HEALTH, LLC
Entity type:Organization
Organization Name:ARBOR HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SPERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-489-8118
Mailing Address - Street 1:1004 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63130
Mailing Address - Country:US
Mailing Address - Phone:636-489-8118
Mailing Address - Fax:314-725-2874
Practice Address - Street 1:1004 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130
Practice Address - Country:US
Practice Address - Phone:636-489-8118
Practice Address - Fax:314-725-2874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility