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Organization

WALLACE FAMILY ADULT DAYCARE

Active
Other names
Wallace Family Adult Daycare
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCENE WALLACE (PROVIDER)
(314) 732-9159
Entity
Organization

Contact information

Practice address
1131 MEYER ST, SAINT LOUIS, MO 63130-1826
(314) 732-9159
Mailing address
1131 MEYER ST, SAINT LOUIS, MO 63130-1826
(314) 732-9159

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
08/30/2018
Last updated
08/30/2018
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