Organization
YOUNG IN SPIRIT ADULT DAYCARE, LLC
Active
Other names
Young in Spirit Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA LYNN BONE R,N, (OWNER/PROGRAM DIRECTOR)
(314) 802-8384
Entity
Organization
Contact information
Practice address
2639 MIAMI ST, SAINT LOUIS, MO 63118-3929
(314) 802-8384
(314) 802-8385
Mailing address
2639 MIAMI ST, SAINT LOUIS, MO 63118-3929
(314) 802-8384
(314) 802-8385
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
916
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296246002
—
MO
Enumeration date
12/20/2010
Last updated
12/20/2010
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