Organization
FAIRVIEW VILLAGE ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI CHAUDHRY (MEMBER LLC)
(314) 533-3111
Entity
Organization
Contact information
Practice address
8449 JENNINGS STATION RD, FAIRVIEW VILLAGE ADULT DAY CARE, SAINT LOUIS, MO 63136
(314) 533-3111
(314) 533-3120
Mailing address
13210 CLAYTON RD, SAINT LOUIS, MO 63131-1001
(314) 533-3111
(314) 533-3120
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MO
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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