Organization
SPIRITED LIVING ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L BRADY (MANAGER)
(314) 994-9070
Entity
Organization
Contact information
Practice address
2075 WALTON RD, OVERLAND, MO 63114-5805
(314) 942-5234
(314) 942-5239
Mailing address
11701 BORMAN DR, SUITE 315, SAINT LOUIS, MO 63146-4100
(314) 994-9070
(314) 994-9912
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MO
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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