Organization
ST. ELIZABETH ADULT DAY CARE CENTER, INC.
Active
Other names
St Elizabeth East Adult Day Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTONIO MILLER C.PP.S. (ADMINISTRATOR)
(314) 772-5107
Entity
Organization
Contact information
Practice address
3227 S 9TH ST, SAINT LOUIS, MO 63118-2629
(314) 771-1591
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
647
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001643
SSBG ID
MO
Enumeration date
03/05/2007
Last updated
08/22/2020
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