Organization
PASSION ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANISHA MARTIN (OWNER)
(314) 933-0155
Entity
Organization
Contact information
Practice address
4068 MAFFITT AVE, SAINT LOUIS, MO 63113-3235
(314) 933-0155
Mailing address
4068 MAFFITT AVE, SAINT LOUIS, MO 63113-3235
(314) 933-0155
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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