Organization
THE DORETHA BUIE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BAKER (OWNER/OPERATOR)
(314) 422-3489
Entity
Organization
Contact information
Practice address
12330 NATURAL BRIDGE RD, BRIDGETON, MO 63044-2019
(314) 422-3489
Mailing address
2123 KEEVEN LN, FLORISSANT, MO 63031-6501
(314) 422-3489
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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