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Organization
CLASSIC ADULT DAY CARE CENTER
Active
Organization
CLASSIC ADULT DAY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLASADE AYINMODU (OWNER/DIRECTOR)
(314) 323-9426
Entity
Organization
Contact information
Practice address
3236 PARKER RD, FLORISSANT, MO 63033-3733
(314) 323-9426
Mailing address
3236 PARKER RD, FLORISSANT, MO 63033-3733
(314) 856-9393
(314) 856-9393
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
842
MO
Other
Enumeration date
08/27/2009
Last updated
10/02/2009
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