Organization
ANGELS ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALMA COOK (MANAGER)
(314) 383-7310
Entity
Organization
Contact information
Practice address
5021 NORTHLAND AVENUE, SAINT LOUIS, MO 63113
(314) 383-7310
(314) 383-1713
Mailing address
5021 NORTHLAND AVE, SAINT LOUIS, MO 63113-1014
(314) 383-7310
(314) 383-1713
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
975
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10131954478
—
MO
Enumeration date
11/23/2011
Last updated
11/23/2011
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