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Organization
DEVINE CARE CONSUMER DIRECT SERVICES,LLC
Active
Organization
DEVINE CARE CONSUMER DIRECT SERVICES,LLC
Active
Other names
Classic adults day care center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOLASADE AYINMODU (DIRECTOR)
(314) 323-9426
Entity
Organization
Contact information
Practice address
3236 PARKER RD, FLORISSANT, MO 63033-3733
(314) 856-9393
(314) 856-9677
Mailing address
3236 PARKER RD, FLORISSANT, MO 63033-3733
(314) 856-9393
(314) 856-9677
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
842
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801029673
—
MO
Enumeration date
06/10/2013
Last updated
06/10/2013
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