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MIDWEST ADULT DAY CENTER INC NPI 1801307244


NPI Information

NPI: 1801307244
Provider Name: MIDWEST ADULT DAY CENTER, INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2940 DERHAKE RD
FLORISSANT, MO
ZIP 63033
Phone: (314) 731-1922
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MIDWEST ADULT DAY CENTER, INC is an adult day care clinic center in Florissant, MO. MIDWEST ADULT DAY CENTER, INC NPI is 1801307244. The provider is registered as an organization entity type.

The provider's business location address is:

2940 DERHAKE RD
FLORISSANT, MO
ZIP 63033-900
Phone: (314) 731-1922

The provider's authorized official is Annette Saurberry .
The authorized official title is Director and has the following contact phone number (314) 731-1922.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 10/12/2017.


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 Care1440MISSOURIYes

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
11639422884MEDICAIDMISSOURI

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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