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Organization
MILLENNIUM MANOR ADULT DAY CENTER LLC
Active
Organization
MILLENNIUM MANOR ADULT DAY CENTER LLC
Active
Parent organization
MILLENNIUM MANOR ADULT DAY CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLENNIUM MANOR ADULT DAY CENTER LLC
Authorized official
CARLA LATEIKE WILLIAMS (CEO)
(314) 933-0415
Entity
Organization
Contact information
Practice address
147 BERRY MANOR CIR, SAINT PETERS, MO 63376-5392
(314) 933-0415
Mailing address
147 BERRY MANOR CIR, SAINT PETERS, MO 63376-5392
(314) 933-0415
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
305R00000X
Preferred Provider Organization
—
NULL
305S00000X
Point of Service
—
NULL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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