Organization
LOVE SMILING FACES ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE DENISE SMITH (OWNER/ADMINISTRATOR)
(314) 276-3399
Entity
Organization
Contact information
Practice address
9738 LACKLAND RD, OVERLAND, MO 63114-3424
(314) 276-3399
(314) 291-0797
Mailing address
9738 LACKLAND RD, OVERLAND, MO 63114-3424
(314) 276-3399
(314) 291-0797
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
1010
MO
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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