Organization
MILITIA OF GRACE ADULT CARE CENTER 'LLC'
Active
Other names
MILITIA OF GRACE ADULT CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BJ T. BUCHANNON (CEO/OWNER)
(314) 828-0804
Entity
Organization
Contact information
Practice address
4266 E NATURAL BRIDGE AVE, SAINT LOUIS, MO 63115-3311
(314) 828-0804
Mailing address
4266 E NATURAL BRIDGE AVE, SAINT LOUIS, MO 63115-3311
(314) 828-0804
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
04/30/2025
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