Organization
CAMBRIDGE ADULT DAY CENTER WASHINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA FLYNN (MANAGER)
(314) 932-1449
Entity
Organization
Contact information
Practice address
2200 WASHINGTON AVE, SAINT LOUIS, MO 63103-1522
(314) 932-1449
(314) 932-1455
Mailing address
2200 WASHINGTON AVE, SAINT LOUIS, MO 63103-1522
(314) 932-1449
(314) 932-1455
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023414893
—
MO
05
—
1760760219
—
MO
Enumeration date
11/06/2014
Last updated
11/24/2015
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