ST ELIZABETH ADULT DAY CARE CENTER NPI 1801925664

NPI Information

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 1801925664. The provider is registered as an organization entity type.
The provider Other Name Is St Elizabeth Adult Day Care Center Of Olivette.

The provider's business location address is:

9723 GRANDVIEW DR
SAINT LOUIS, MO
ZIP 63132-006
Phone: (314) 664-6165

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:

Other Identifiers

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

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