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Organization

OMNI EXPRESS ADULT DAY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOYCE BISHOP (OWNER)
(314) 599-3037
Entity
Organization

Contact information

Practice address
5036 THEKLA AVE, SAINT LOUIS, MO 63115-1354
(314) 599-3037
Mailing address
7747 WILD PLUM AVE, SAINT LOUIS, MO 63130-2727

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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