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Organization

TR ADULT CARE AND RECREATION CENTER/IN HOME SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JIMMIE L MANN (MANAGER)
(314) 436-7447
Entity
Organization

Contact information

Practice address
1628 N 14TH ST, SAINT LOUIS, MO 63106-4107
(314) 436-7447
Mailing address
1628 N 14TH ST, SAINT LOUIS, MO 63106-4107

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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