Provider Demographics
NPI:1871750562
Name:DEAF INTER-LINK
Entity type:Organization
Organization Name:DEAF INTER-LINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANNAI
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-837-7757
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63032-0510
Mailing Address - Country:US
Mailing Address - Phone:314-837-7757
Mailing Address - Fax:314-837-0777
Practice Address - Street 1:100 ST FRANCOIS
Practice Address - Street 2:SUITE 206
Practice Address - City:FLORISSANTM
Practice Address - State:MO
Practice Address - Zip Code:63031-0510
Practice Address - Country:US
Practice Address - Phone:314-837-7757
Practice Address - Fax:314-837-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC7017310251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services