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ST ELIZABETH ADULT DAY CARE CENTER NPI 1487783254


NPI Information

NPI: 1487783254
Provider Name: ST ELIZABETH ADULT DAY CARE CENTER

Other Name: ST ELIZABETH ADULT DAY CARE CENTER OF LEMAY

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
317 HOFFMEISTER AVE
SAINT LOUIS, MO
ZIP 63125
Phone: (314) 638-8850
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ST ELIZABETH ADULT DAY CARE CENTER is an adult day care clinic center in Saint Louis, MO. ST ELIZABETH ADULT DAY CARE CENTER NPI is 1487783254. The provider is registered as an organization entity type.
The provider Other Name Is St Elizabeth Adult Day Care Center Of Lemay.

The provider's business location address is:

317 HOFFMEISTER AVE
SAINT LOUIS, MO
ZIP 63125-609
Phone: (314) 638-8850

The provider's authorized official is John Antonio Miller .
The authorized official title is Administrator and has the following contact phone number (314) 772-5107.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day Care627MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10008593OTHERMISSOURISSBG ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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