| NPI | 1740333632 |
|---|---|
| Other Name | LONGFELLOW GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | BARRY J LARSON President 314-781-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |