Organization
ST ELIZABETH ADULT DAY OF STE GENEVIEVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SR. JOHN ANTONIO MILLER C.PP.S (ADMINISTRATOR)
(314) 772-5107
Entity
Organization
Contact information
Practice address
755 MARKET ST, STE GENEVIEVE, MO 63670-1525
(573) 883-7603
Mailing address
3401 ARSENAL ST, SAINT LOUIS, MO 63118-2001
(314) 772-5107
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MO
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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