Organization
HOME AWAY FROM HOME ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JONES (OWNER)
(314) 713-8222
Entity
Organization
Contact information
Practice address
5535 DELMAR BLVD, SAINT LOUIS, MO 63112-3005
(314) 265-2096
Mailing address
PO BOX 32086, OLIVETTE, MO 63132-8086
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
05/29/2008
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