OrganizationActive
Gas Ince
NPI 1366622649 · Assisted Living Facility (Mental Illness) · De Soto, MO
Provider details
- NPI number
- 1366622649
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Alysha Sauer, Office Manager(636) 933-4911
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
122 E Pratt St
De Soto, MO 63020-2143
Phone: (636) 337-8828
Fax: (636) 337-2839
Approximate (ZIP-level) locationGet directions
Mailing address
115 West Ave
Festus, MO 63028-1733
Other names (DBA / former)
- Doing business as
- Colonial House
Registry dates
- Enumerated
- 2007-11-05
- Last updated
- 2007-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.